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General NPI Number Information
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NPI Number | 1942409313
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Entity Type | Organization
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Legal Business Name | LENNART C BELOK, M.D., P.C.
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 10/06/2010
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Provider Practice Location Address
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Address Line | 410 E 20TH ST
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City | NEW YORK
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State | NY
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Zip | 10009-8112
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Country | US
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Telephone | 212-254-9716
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Fax | 212-477-6533
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Provider Business Mailing Address
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Address Line | 410 E 20TH ST
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City | NEW YORK
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State | NY
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Zip | 10009-8112
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Country | US
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Telephone | 212-254-9716
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Fax | 212-477-6533
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LENNART BELOK
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Credential | M.D.
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Telephone | 212-254-9716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 120794
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License Number State | NY
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