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General NPI Number Information
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NPI Number | 1700588027
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Entity Type | Organization
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Legal Business Name | OBH BROOKDALE HOSPITAL MEDICAL CENTER
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 1 BROOKDALE PLZ
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City | BROOKLYN
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State | NY
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Zip | 11212-3139
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Country | US
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Telephone | 718-240-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 20704 N 90TH PL UNIT 1026
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-9116
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Country | US
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Telephone | 513-410-5318
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Fax |
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Authorized Official
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Title or Position | RESIDENT PHYSICIAN
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Name | DR. NILS SUMEGI WENT
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Credential | MD
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Telephone | 513-410-5318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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