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General NPI Number Information
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NPI Number | 1215490818
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Entity Type | Organization
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Legal Business Name | BIALIK MEDICAL CARE PLLC
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 04/10/2019
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Provider Practice Location Address
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Address Line | 144 MAYFAIR DR N FL 1
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City | BROOKLYN
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State | NY
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Zip | 11234-6728
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Country | US
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Telephone | 973-597-8110
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Fax |
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Provider Business Mailing Address
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Address Line | 144 MAYFAIR DR N FL 1
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City | BROOKLYN
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State | NY
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Zip | 11234-6728
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Country | US
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Telephone | 973-597-8110
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Fax |
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Authorized Official
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Title or Position | MEDICAL DOCTOR/PHYSICIAN
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Name | DR. ALEX BIALIK
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Credential | MD
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Telephone | 973-597-8110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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