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General NPI Number Information
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NPI Number | 1275580185
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Entity Type | Individual
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Provider Name | ALAN E BAKST MD
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Gender | Male
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 5401 S CONGRESS AVE # 204
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City | ATLANTIS
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State | FL
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Zip | 33462-6635
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Country | US
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Telephone | 561-967-4118
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Fax | 561-967-3463
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Provider Business Mailing Address
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Address Line | 5401 S CONGRESS AVE STE 204
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City | LAKE WORTH
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State | FL
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Zip | 33462-6637
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Country | US
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Telephone | 561-967-4118
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Fax | 561-967-3463
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 036051310
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 0101255502
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME79475
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 036051310
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 2014-01915
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License Number State | NC
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