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General NPI Number Information
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NPI Number | 1902060692
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Entity Type | Organization
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Legal Business Name | ART OF COMPREHENSIVE MEDICINE, PLLC
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Dates
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Enumeration Date | 07/11/2008
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 1664 EAST 14 STREET SUITE 101
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City | BROOKLYN
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State | NY
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Zip | 11229-1155
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Country | US
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Telephone | 718-375-2100
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Fax | 718-942-4719
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Provider Business Mailing Address
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Address Line | P.O.BOX 350822
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City | BROOKLYN
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State | NY
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Zip | 11235-0822
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Country | US
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Telephone | 718-646-4507
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Fax | 347-374-2393
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MRS. JESSICA TORRES
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Credential |
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Telephone | 718-646-4507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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