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General NPI Number Information
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NPI Number | 1033843255
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Entity Type | Individual
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Provider Name | MACIEJ BIELEN DPT
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Gender | Male
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Dates
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Enumeration Date | 07/13/2022
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 2855 S CONGRESS AVE STE C
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City | DELRAY BEACH
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State | FL
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Zip | 33445-7312
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Country | US
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Telephone | 561-325-8278
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 COASTAL BAY BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7828
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Country | US
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Telephone | 561-325-8278
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT41463
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA02096400
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License Number State | NJ
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