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General NPI Number Information
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NPI Number | 1588938625
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Entity Type | Organization
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Legal Business Name | B & K MEDICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 1578 WILLIAMSBRIDGE RD
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City | BRONX
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State | NY
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Zip | 10461-6265
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Country | US
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Telephone | 718-239-2492
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | TUCKAHOE
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State | NY
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Zip | 10707-0188
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | FIRAS BARAKAT
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Credential | (718) 239-2492
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Telephone | 718-239-2492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 205373
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License Number State | NY
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