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General NPI Number Information
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NPI Number | 1538154844
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Entity Type | Individual
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Provider Name | SAFAK REKA M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 01/27/2016
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Provider Practice Location Address
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Address Line | 450 CLARKSON AVE SUITE A
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City | BROOKLYN
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State | NY
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Zip | 11203-2056
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Country | US
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Telephone | 718-270-1112
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Fax | 718-270-3107
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Provider Business Mailing Address
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Address Line | 450 CLARKSON AVE BOX 1262
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City | BROOKLYN
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State | NY
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Zip | 11203-2056
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Country | US
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Telephone | 718-270-8867
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Fax | 718-270-1794
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 207320-1
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License Number State | NY
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