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General NPI Number Information
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NPI Number | 1861977142
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Entity Type | Organization
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Legal Business Name | BIRCH MEDICAL PLLC
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 01/15/2019
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Provider Practice Location Address
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Address Line | 60 OCEANA DR W APT 10D
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City | BROOKLYN
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State | NY
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Zip | 11235-6664
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Country | US
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Telephone | 917-593-6820
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Fax |
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Provider Business Mailing Address
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Address Line | 60 OCEANA DR W APT 10D
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City | BROOKLYN
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State | NY
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Zip | 11235-6664
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Country | US
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Telephone | 917-593-6820
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Fax |
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Authorized Official
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Title or Position | ATTENDING
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Name | DR. SABINA BRAUDE
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Credential | MD
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Telephone | 917-593-6820
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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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