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General NPI Number Information
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NPI Number | 1396885828
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Entity Type | Organization
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Legal Business Name | BILQUIS NAVIWALA PHYSICIAN PC INC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 252 WYCKOFF AVE #1R
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City | BROOKLYN
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State | NY
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Zip | 11237
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Country | US
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Telephone | 718-386-4409
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Fax | 418-386-4409
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Provider Business Mailing Address
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Address Line | 86 16 60TH AVE APT #2H
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City | ELMHURST
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State | NY
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Zip | 11373
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Country | US
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Telephone | 718-386-4409
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Fax | 718-386-4409
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Authorized Official
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Title or Position | PHYSICIAN
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Name | BILQUIS NAVIWALA
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Credential | MD
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Telephone | 718-386-4409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 197249
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License Number State | NY
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