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General NPI Number Information
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NPI Number | 1396757829
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Entity Type | Individual
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Provider Name | VICTOR BYKOV M. D.
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Gender | Male
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 303 BINNACLE DRIVE UNIT 106
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City | NAPLES
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State | FL
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Zip | 34103-0288
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Country | US
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Telephone | 440-477-2897
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Fax |
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Provider Business Mailing Address
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Address Line | 303 BINNACLE DRIVE UNIT 106
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City | NAPLES
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State | FL
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Zip | 34103-0288
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Country | US
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Telephone | 440-477-2897
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35-06-8421-B
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License Number State | OH
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