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General NPI Number Information
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NPI Number | 1821142068
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Entity Type | Organization
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Legal Business Name | BORO PARK GASTROENTEROLOGY ASSOCIATES PC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 1332 44TH ST
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City | BROOKLYN
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State | NY
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Zip | 11219-2108
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Country | US
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Telephone | 718-972-9115
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Fax | 718-972-4461
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Provider Business Mailing Address
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Address Line | 1332 44TH ST
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City | BROOKLYN
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State | NY
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Zip | 11219-2108
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Country | US
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Telephone | 718-972-9115
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Fax | 718-972-4461
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELLIOTT FUHRER
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Credential | MD
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Telephone | 718-972-9115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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