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General NPI Number Information
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NPI Number | 1366514325
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Entity Type | Individual
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Provider Name | BERNARD DONALD SKLANSKY MD
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Gender | Male
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 03/11/2008
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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 | 11021-5315
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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 | 11021-5315
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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 |
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 126845
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | ME94603
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License Number State | FL
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