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General NPI Number Information
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NPI Number | 1689979551
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Entity Type | Organization
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Legal Business Name | ADAM B. PASS M.D. P.C.
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Dates
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Enumeration Date | 01/24/2011
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Last Update Date | 01/24/2011
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Provider Practice Location Address
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Address Line | 522 BAY RIDGE PKWY
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City | BROOKLYN
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State | NY
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Zip | 11209-3310
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Country | US
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Telephone | 718-836-1779
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Fax | 718-745-6391
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Provider Business Mailing Address
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Address Line | 522 BAY RIDGE PKWY
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City | BROOKLYN
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State | NY
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Zip | 11209-3310
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Country | US
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Telephone | 718-836-1779
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Fax | 718-745-6391
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Authorized Official
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Title or Position | PHYSICIAN-OWNER
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Name | DR. ADAM BENNETT PASS
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Credential | M.D.
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Telephone | 718-836-1779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 182927
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License Number State | NY
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