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General NPI Number Information
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NPI Number | 1609873116
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Entity Type | Organization
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Legal Business Name | AMBULATORY SURGERY CENTER OF BROOKLYN, LLC
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 313 43RD ST
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City | BROOKLYN
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State | NY
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Zip | 11232-3609
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Country | US
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Telephone | 718-369-1900
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Fax | 718-965-4157
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Provider Business Mailing Address
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Address Line | 313 43RD ST
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City | BROOKLYN
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State | NY
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Zip | 11232-3609
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Country | US
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Telephone | 718-369-1900
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Fax | 718-965-4157
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. FRANCIS XAVIER MONCK
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Credential |
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Telephone | 718-369-2140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 7001244R
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License Number State | NY
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