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General NPI Number Information
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NPI Number | 1720162126
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Entity Type | Organization
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Legal Business Name | LA BRZOZOWSKI MD ER FLORES MD NEUROLOGICAL MEDICINE LTD
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 04/04/2012
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Provider Practice Location Address
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Address Line | 1940 N 13TH ST SUITE 203
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City | READING
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State | PA
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Zip | 19604
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Country | US
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Telephone | 610-921-3890
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Fax | 610-921-3415
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Provider Business Mailing Address
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Address Line | 1940 N 13TH ST SUITE 203
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City | READING
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State | PA
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Zip | 19604
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Country | US
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Telephone | 610-921-3890
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Fax | 610-921-3415
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAWRENCE A BRZOZOWSKI
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Credential | M.D.
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Telephone | 610-921-3890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD-020772-E
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License Number State | PA
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