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General NPI Number Information
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NPI Number | 1033535984
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Entity Type | Organization
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Legal Business Name | RAPHAEL LILKER PODIATRIST PLLC
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Dates
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Enumeration Date | 03/14/2014
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Last Update Date | 08/27/2014
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Provider Practice Location Address
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Address Line | 172 BEACH 144TH ST
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City | NEPONSIT
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State | NY
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Zip | 11694-1113
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Country | US
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Telephone | 516-779-3654
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Fax | 718-318-1488
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Provider Business Mailing Address
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Address Line | 172 BEACH 144TH ST
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City | NEPONSIT
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State | NY
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Zip | 11694-1113
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Country | US
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Telephone | 516-779-3654
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Fax | 718-318-1488
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. RAPHAEL LILKER
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Credential | DPM
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Telephone | 516-779-3654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 006450
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License Number State | NY
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