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General NPI Number Information
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NPI Number | 1457424533
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Entity Type | Organization
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Legal Business Name | MARZENA BIENIEK, MD, PC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 352 5TH ST SUITE B
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City | WHITEHALL
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State | PA
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Zip | 18052-6523
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Country | US
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Telephone | 610-432-8185
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Fax | 610-432-8187
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Provider Business Mailing Address
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Address Line | 352 5TH ST SUITE B
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City | WHITEHALL
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State | PA
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Zip | 18052-6523
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Country | US
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Telephone | 610-432-8185
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Fax | 610-432-8187
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MARZENA L. BIENIEK
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Credential | MD
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Telephone | 610-432-8185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD052561L
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License Number State | PA
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