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General NPI Number Information
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NPI Number | 1437274552
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Entity Type | Individual
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Provider Name | ANIKO BOGNAR LCAT
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 01/23/2015
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Provider Practice Location Address
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Address Line | 81 REMSEN ST SUITE 4
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City | BROOKLYN
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State | NY
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Zip | 11201-3411
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Country | US
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Telephone | 917-714-9403
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Fax |
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Provider Business Mailing Address
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Address Line | 233 GREENE AVE 1B
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City | BROOKLYN
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State | NY
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Zip | 11238-7209
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Country | US
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Telephone | 917-714-9403
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 000040
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License Number State | NY
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