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General NPI Number Information
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NPI Number | 1174787253
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Entity Type | Organization
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Legal Business Name | SKLANSKY MEDICAL
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 833 NORTHERN BLVD SUITE 115
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City | GREAT NECK
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State | NY
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Zip | 11021
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Country | US
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Telephone | 516-504-1800
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Fax | 516-466-7359
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Provider Business Mailing Address
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Address Line | 833 NORTHERN BLVD SUITE 115
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City | GREAT NECK
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State | NY
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Zip | 11021
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Country | US
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Telephone | 516-504-1800
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Fax | 516-466-7359
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BERNARD DONALD SKLANSKY
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Credential | MD
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Telephone | 516-504-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2939
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License Number State | NY
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