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General NPI Number Information
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NPI Number | 1831462316
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Entity Type | Organization
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Legal Business Name | NEW LOTS MEDICAL SERVICES
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Dates
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Enumeration Date | 02/15/2012
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 9114 FLATLANDS AVE
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City | BROOKLYN
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State | NY
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Zip | 11236-3617
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Country | US
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Telephone | 718-272-2721
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Fax | 718-272-2856
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Provider Business Mailing Address
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Address Line | 9114 FLATLANDS AVE
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City | BROOKLYN
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State | NY
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Zip | 11236-3617
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Country | US
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Telephone | 718-272-2721
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Fax | 718-272-2856
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHARLES JEROME FRANCIS
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Credential | D.O.
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Telephone | 718-272-2721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 200268
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License Number State | NY
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