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General NPI Number Information
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NPI Number | 1497303689
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Entity Type | Individual
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Provider Name | JUSTIN KWOK HO BRZEZINSKI
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Gender | Male
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Dates
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Enumeration Date | 08/30/2019
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Last Update Date | 08/30/2019
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Provider Practice Location Address
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Address Line | 5401 8TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11220-3229
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Country | US
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Telephone | 718-686-8830
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Fax |
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Provider Business Mailing Address
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Address Line | 8313 21ST AVE APT 2F
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City | BROOKLYN
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State | NY
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Zip | 11214-2443
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Country | US
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Telephone | 347-465-5958
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 065634-01
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License Number State | NY
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