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General NPI Number Information
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NPI Number | 1629167861
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Entity Type | Individual
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Provider Name | BERNARD SALICK M.D.,
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 08/25/2016
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Provider Practice Location Address
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Address Line | 9777 WILSHIRE BLVD STE# 512
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City | BEVERLY HILLS
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State | CA
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Zip | 90212
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Country | US
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Telephone | 310-967-3304
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Fax | 310-967-3377
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Provider Business Mailing Address
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Address Line | 9777 WILSHIRE BLVD STE# 512
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-1905
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Country | US
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Telephone | 310-967-3309
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Fax | 310-967-3377
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | G10954
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License Number State | CA
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