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General NPI Number Information
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NPI Number | 1013164201
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Entity Type | Individual
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Provider Name | DIMITRIOS BLIAGOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 33 DAVIS AVENUE
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City | WHITE PLAINS
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State | NY
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Zip | 10605
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Country | US
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Telephone | 914-931-2943
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Fax | 914-457-3432
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Provider Business Mailing Address
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Address Line | 33 DAVIS AVENUE
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City | WHITE PLAINS
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State | NY
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Zip | 10605
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Country | US
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Telephone | 914-931-2943
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Fax | 914-457-3432
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 233889
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 233889
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License Number State | NY
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