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General NPI Number Information
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NPI Number | 1932819513
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Entity Type | Organization
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Legal Business Name | YEVGENIY SOROKIN DO PC
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 445 KINGS HWY STE 2
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City | BROOKLYN
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State | NY
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Zip | 11223-1780
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Country | US
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Telephone | 718-645-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 VOORHIES AVE APT 4
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City | BROOKLYN
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State | NY
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Zip | 11235-3403
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YEVGENIY SOROKIN
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Credential | DO
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Telephone | 718-645-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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