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General NPI Number Information
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NPI Number | 1235166349
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Entity Type | Individual
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Provider Name | MICHAEL R. BILKIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 60 POMTON AVENUE
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City | VERONA
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State | NJ
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Zip | 07044
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Country | US
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Telephone | 973-571-2121
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Fax | 973-571-2126
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Provider Business Mailing Address
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Address Line | 60 POMTON AVENUE
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City | VERONA
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State | NJ
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Zip | 07044
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Country | US
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Telephone | 973-571-2121
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Fax | 973-571-2126
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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 | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | 25MA05571300
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License Number State | NJ
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