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General NPI Number Information
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NPI Number | 1821389941
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Entity Type | Organization
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Legal Business Name | REVIVED SOUL MEDICAL PC
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Dates
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Enumeration Date | 04/23/2011
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Last Update Date | 04/23/2011
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Provider Practice Location Address
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Address Line | 1901 AVENUE P 1A
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City | BROOKLYN
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State | NY
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Zip | 11229-1342
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Country | US
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Telephone | 718-382-5060
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 AVENUE P 1A
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City | BROOKLYN
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State | NY
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Zip | 11229-1342
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Country | US
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Telephone | 718-382-5060
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IRINA KIBLITSKY
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Credential | M.D.
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Telephone | 718-382-5060
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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 | 246958
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License Number State | NY
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