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General NPI Number Information
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NPI Number | 1528305505
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Entity Type | Organization
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Legal Business Name | REICHMAN, BROWN, KAPLAN M.D.P.C
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Dates
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Enumeration Date | 01/10/2013
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 20A S SAXON AVE # A
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City | BAY SHORE
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State | NY
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Zip | 11706-8920
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Country | US
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Telephone | 631-666-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 20A S SAXON AVE # A
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City | BAY SHORE
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State | NY
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Zip | 11706-8920
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Country | US
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Telephone | 631-666-1300
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | GEORGE ROGU
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Credential | M.D.
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Telephone | 631-666-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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