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General NPI Number Information
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NPI Number | 1750609756
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Entity Type | Organization
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Legal Business Name | BDBN MEDICAL PC
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Dates
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Enumeration Date | 05/14/2010
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Last Update Date | 05/14/2010
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Provider Practice Location Address
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Address Line | 142 JORALEMON ST STE 11B
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City | BROOKLYN
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State | NY
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Zip | 11201-4709
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Country | US
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Telephone | 718-802-0677
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Fax |
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Provider Business Mailing Address
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Address Line | 142 JORALEMON ST STE 11B
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City | BROOKLYN
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State | NY
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Zip | 11201-4709
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Country | US
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Telephone | 718-802-0677
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAIMAMBA VEERAMANCHANENI
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Credential | MD
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Telephone | 516-708-3642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 140871
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License Number State | NY
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