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General NPI Number Information
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NPI Number | 1831688845
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Entity Type | Organization
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Legal Business Name | LEFFERTS
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Dates
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Enumeration Date | 05/04/2018
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Last Update Date | 05/04/2018
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Provider Practice Location Address
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Address Line | 1289 NOSTRAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11226-1500
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Country | US
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Telephone | 347-564-8259
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Fax |
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Provider Business Mailing Address
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Address Line | 549 EMPIRE BLVD STE 100
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City | BROOKLYN
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State | NY
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Zip | 11225-3121
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Country | US
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Telephone | 347-450-8398
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Fax |
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Authorized Official
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Title or Position | MEMBER-OWNER
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Name | AVROHOM Y SPERLIN
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Credential |
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Telephone | 347-564-8259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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