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General NPI Number Information
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NPI Number | 1881877603
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Entity Type | Organization
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Legal Business Name | HOOSHANG BARZEGAR MD PC
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Dates
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Enumeration Date | 12/14/2007
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 1636 E 14TH ST SUITE 124
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City | BROOKLYN
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State | NY
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Zip | 11229-1100
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Country | US
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Telephone | 718-998-3500
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Fax | 718-998-1063
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Provider Business Mailing Address
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Address Line | 1636 E 14TH ST SUITE 124
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City | BROOKLYN
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State | NY
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Zip | 11229-1100
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Country | US
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Telephone | 718-998-3500
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Fax | 718-998-1063
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DOOSHANG BARZEGAR
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Credential | M.D.
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Telephone | 718-998-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 107034
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License Number State | NY
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