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General NPI Number Information
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NPI Number | 1861573206
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Entity Type | Organization
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Legal Business Name | WOJCIECH PALKA MD PC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | LENOX HILL HOSPITAL 100 EAST 77TH STREET
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City | NEW YORK
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State | NY
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Zip | 10021
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Country | US
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Telephone | 212-787-9318
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Fax | 212-787-9318
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Provider Business Mailing Address
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Address Line | PO BOX 237077
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City | NEW YORK
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State | NY
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Zip | 10023
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Country | US
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Telephone | 212-787-9318
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Fax | 212-787-9318
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Authorized Official
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Title or Position | PRESIDENT
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Name | WOJCIECH PALKA
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Credential | MD
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Telephone | 212-787-9318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 215044
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License Number State | NY
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