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General NPI Number Information
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NPI Number | 1992049936
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Entity Type | Organization
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Legal Business Name | REAL MEDICAL CARE PLLC
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 2569 OCEAN AVE
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City | BROOKLYN
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State | NY
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Zip | 11229-4576
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Country | US
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Telephone | 718-332-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 211 E 53RD ST SUITE 3K
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City | NEW YORK
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State | NY
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Zip | 10022-4803
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Country | US
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Telephone | 212-583-9701
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Fax | 212-583-9709
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Authorized Official
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Title or Position | MD
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Name | MRS. NINA BENYAMINOVA
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Credential |
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Telephone | 718-332-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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