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General NPI Number Information
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NPI Number | 1851495253
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Entity Type | Organization
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Legal Business Name | BROOKLYN OB GYN ASSOC LLP
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10031 4TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11209
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Country | US
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Telephone | 718-439-8200
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Fax | 718-439-7317
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Provider Business Mailing Address
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Address Line | 10031 4TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11209
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Country | US
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Telephone | 718-439-8200
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Fax | 718-439-7317
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | STEVEN A FARBER
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Credential | MD
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Telephone | 718-439-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 143897
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License Number State | NY
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