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General NPI Number Information
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NPI Number | 1669559670
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Entity Type | Organization
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Legal Business Name | MEDICAL CARE 4 YOU.P.C.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 825 BROADWAY
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City | BROOKLYN
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State | NY
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Zip | 11206-7306
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Country | US
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Telephone | 718-302-9494
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Fax |
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Provider Business Mailing Address
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Address Line | 825 BROADWAY
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City | BROOKLYN
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State | NY
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Zip | 11206-7306
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Country | US
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Telephone | 718-302-9494
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ALEXANDER DALE
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Credential | MD
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Telephone | 718-302-9494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 229782
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License Number State | NY
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