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General NPI Number Information
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NPI Number | 1124292685
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Entity Type | Organization
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Legal Business Name | DR LLOYD BARDFELD
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 918 CORNAGA AVE
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-5002
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Country | US
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Telephone | 718-337-6345
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Fax | 718-337-3229
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Provider Business Mailing Address
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Address Line | 918 CORNAGA AVE
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-5002
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Country | US
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Telephone | 718-337-6345
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Fax | 718-337-3229
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | CARLENE WALTERS
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Credential |
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Telephone | 718-337-6345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N002317
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N002317
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License Number State | NY
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