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General NPI Number Information
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NPI Number | 1366704009
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Entity Type | Organization
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Legal Business Name | WILLIAM BOLLENGIER MD, PC
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Dates
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Enumeration Date | 06/08/2012
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Last Update Date | 06/08/2012
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Provider Practice Location Address
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Address Line | 29 FOX ST SUITE101
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-4714
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Country | US
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Telephone | 845-454-9955
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Fax | 845-454-9949
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Provider Business Mailing Address
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Address Line | 29 FOX ST SUITE101
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-4714
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Country | US
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Telephone | 845-454-9955
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Fax | 845-454-9949
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM BOLLENGIER
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Credential | M.D.
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Telephone | 845-454-9955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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