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General NPI Number Information
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NPI Number | 1023059888
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Entity Type | Organization
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Legal Business Name | MICHAEL TROCIUK, MD PC
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 20 KELLOGG RD
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City | NEW HARTFORD
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State | NY
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Zip | 13413-2825
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Country | US
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Telephone | 315-449-0513
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Fax | 315-445-2936
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Provider Business Mailing Address
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Address Line | PO BOX 2005
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-4505
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Country | US
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Telephone | 315-449-0513
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Fax | 315-445-2936
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Authorized Official
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Title or Position | MD
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Name | DR. MICHAEL TROCIUK
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Credential | MD
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Telephone | 315-449-0513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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