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General NPI Number Information
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NPI Number | 1568474021
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Entity Type | Individual
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Provider Name | LAZAR POPILEVSKY MD
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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 | 12/04/2014
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Provider Practice Location Address
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Address Line | 535 SECOND AVENUE KIPS BAY ENDOSCOPY CENTER LLC
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City | NEW YORK
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State | NY
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Zip | 10016-8275
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Country | US
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Telephone | 212-889-5477
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Fax | 212-889-0517
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Provider Business Mailing Address
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Address Line | 105 KINGS HWY SUITE #3D
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City | BROOKLYN
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State | NY
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Zip | 11214-1525
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Country | US
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Telephone | 646-623-4140
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Fax | 718-331-8627
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 218701
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License Number State | NY
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