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General NPI Number Information
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NPI Number | 1073730248
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Entity Type | Individual
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Provider Name | CHRISTOPHER GREGORY PRZYBYCIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 02/10/2012
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE L25
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-444-8421
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Fax | 216-445-3707
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE L25
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-444-8421
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Fax | 216-445-3707
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 43060
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 4301081682
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4301081662
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | D67176
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 35.098560
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 252621
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License Number State | NY
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