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General NPI Number Information
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NPI Number | 1750517744
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Entity Type | Organization
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Legal Business Name | DOWNSTATE MEDICAL CENTER
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Dates
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Enumeration Date | 06/03/2009
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Last Update Date | 06/03/2009
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Provider Practice Location Address
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Address Line | 760 PARKSIDE AVE
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City | BROOKLYN
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State | NY
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Zip | 11226-1508
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Country | US
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Telephone | 718-282-7234
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Fax | 718-282-7239
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Provider Business Mailing Address
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Address Line | 445 LENOX RD
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City | BROOKLYN
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State | NY
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Zip | 11203-2017
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Country | US
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Telephone | 718-282-7234
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Fax | 718-282-7239
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Authorized Official
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Title or Position | ASSOCIATE DIRECTOR OF MEDICINE/NP
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Name | MISS JULIETH FAYE MCLAUGHLIN
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Credential | NP
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Telephone | 718-282-7234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number | F335407-1
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License Number State | NY
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