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General NPI Number Information
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NPI Number | 1033298575
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Entity Type | Organization
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Legal Business Name | CHARLES BIGAJER & ROBERT S TRACER MD PLLC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | ONE BROOKDALE PLAZA ROOM 323 KATZ
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City | BROOKLYN
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State | NY
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Zip | 11212
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Country | US
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Telephone | 718-240-6385
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Fax | 718-240-6756
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Provider Business Mailing Address
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Address Line | ONE BROOKDALE PLAZA ROOM 323 KATZ
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City | BROOKLYN
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State | NY
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Zip | 11212
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Country | US
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Telephone | 718-240-6385
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Fax | 718-240-6756
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Authorized Official
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Title or Position | PHYSICIAN
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Name | CHARLES BIGAJER
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Credential | MD
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Telephone | 718-240-6385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 117410
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 124918
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License Number State | NY
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