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General NPI Number Information
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NPI Number | 1629025341
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Entity Type | Organization
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Legal Business Name | B R SALES MD PC
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14218 38TH AVE APT CFD
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City | FLUSHING
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State | NY
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Zip | 11354-5554
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Country | US
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Telephone | 718-886-2288
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Fax | 718-886-1179
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Provider Business Mailing Address
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Address Line | 8405 164TH AVE
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City | HOWARD BEACH
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State | NY
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Zip | 11414-3613
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Country | US
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Telephone | 718-845-5839
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Fax | 718-835-6014
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Authorized Official
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Title or Position | INTERNIST
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Name | DR. BENIGNO REYES SALES JR.
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Credential | M.D.
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Telephone | 718-738-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 119359
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License Number State | NY
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