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General NPI Number Information
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NPI Number | 1639286099
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Entity Type | Organization
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Legal Business Name | LUTHERAN MEDICAL CENTER
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3414 CHURCH AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-2714
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Country | US
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Telephone | 718-940-4949
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Fax |
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Provider Business Mailing Address
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Address Line | 521 MAPLE ST
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-3314
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Country | US
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Telephone | 516-414-2921
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Fax |
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | DR. TOYCINA E AGUILH-FIGARO
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Credential | MD
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Telephone | 718-940-9425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 216962
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License Number State | NY
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