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General NPI Number Information
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NPI Number | 1518627785
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Entity Type | Organization
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Legal Business Name | ERWIN LEREBOURS MEDICAL PLLC
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Dates
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Enumeration Date | 12/29/2021
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 5202 AVENUE N
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City | BROOKLYN
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State | NY
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Zip | 11234-3942
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Country | US
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Telephone | 718-208-4433
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Fax | 718-799-1415
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Provider Business Mailing Address
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Address Line | 2 CARMAN RD
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City | DIX HILLS
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State | NY
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Zip | 11746-5645
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Country | US
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Telephone | 718-208-4433
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Fax | 718-799-1415
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | ERWIN LEREBOURS
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Credential | MD
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Telephone | 585-317-5539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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