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1619006152 NPI number — MAGDALENA ALICJA BILSKA MD

NPI Number: 1619006152
Health Care Provider/Practitioner: MAGDALENA ALICJA BILSKA MD

Information about “1619006152” NPI (MAGDALENA ALICJA BILSKA MD) exists in 1619006152 in HTML format HTML  |  1619006152 in plain Text format TXT  |  1619006152 in PDF (Portable Document Format) PDF  |  1619006152 in an XML format XML  formats.

NPI Number : 1619006152 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619006152",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BILSKA",
    "FirstName": "MAGDALENA",
    "MiddleName": "ALICJA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 751803",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHARLOTTE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28275-1803",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "336-718-0800",
    "MailingAddressFaxNumber": "704-384-0871",
    "FirstLinePracticeLocationAddress": "100 ROBINHOOD MEDICAL PLZ",
    "SecondLinePracticeLocationAddress": "BLDG 100",
    "PracticeLocationAddressCityName": "WINSTON SALEM",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27106-5472",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "336-718-0800",
    "PracticeLocationAddressFaxNumber": "336-718-0871",
    "EnumerationDate": "03/02/2007",
    "LastUpdateDate": "10/29/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "133986",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "200801719",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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