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General NPI Number Information
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NPI Number | 1023229648
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Entity Type | Individual
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Provider Name | DENNIS BAREK MD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 29 WENSLEY DR
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City | GREAT NECK
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State | NY
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Zip | 11021-4916
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Country | US
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Telephone | 516-829-6567
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Fax | 516-829-7652
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Provider Business Mailing Address
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Address Line | 29 WENSLEY DRIVE
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City | GREAT NECK
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State | NY
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Zip | 11021-4916
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Country | US
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Telephone | 516-829-6567
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Fax | 516-829-7652
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 106348
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License Number State | NY
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