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General NPI Number Information
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NPI Number | 1275628182
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Entity Type | Individual
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Provider Name | BAKIR ALTAI M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 09/06/2011
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Provider Practice Location Address
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Address Line | 348 13TH ST
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City | BROOKLYN
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State | NY
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Zip | 11215-6177
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Country | US
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Telephone | 212-444-2209
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Fax |
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Provider Business Mailing Address
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Address Line | 320 7TH AVE PMB # 202
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City | BROOKLYN
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State | NY
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Zip | 11215-4194
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Country | US
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Telephone | 212-444-2209
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Fax |
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 25MA05389100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 1737871
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License Number State | NY
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