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General NPI Number Information
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NPI Number | 1588934921
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Entity Type | Organization
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Legal Business Name | ALL TIME CARE MEDICAL PLLC
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Dates
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Enumeration Date | 01/02/2012
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Last Update Date | 03/14/2013
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Provider Practice Location Address
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Address Line | 679 60TH ST FL 1
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City | BROOKLYN
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State | NY
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Zip | 11220-4108
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Country | US
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Telephone | 347-901-3407
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Fax |
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Provider Business Mailing Address
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Address Line | 679 60TH ST FL 1
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City | BROOKLYN
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State | NY
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Zip | 11220-4108
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Country | US
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Telephone | 347-901-3407
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | BRIAN CHENGHUI LI
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Credential | D.O.
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Telephone | 347-901-3407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 249277
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License Number State | NY
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