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General NPI Number Information
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NPI Number | 1073831863
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Entity Type | Organization
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Legal Business Name | DRVIKI LLC
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 08/23/2010
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Provider Practice Location Address
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Address Line | 167 EAST BRIDGE STREET
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City | HOMESTEAD
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State | PA
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Zip | 15120
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Country | US
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Telephone | 412-464-2020
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Fax | 412-464-1202
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Provider Business Mailing Address
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Address Line | 1515 WIGHTMAN ST
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City | PITTSBURGH
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State | PA
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Zip | 15217-1407
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Country | US
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Telephone | 412-421-3289
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Fax |
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Authorized Official
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Title or Position | SOLE MANAGER
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Name | DR. VASILIKI A CHRISTOPOULOS
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Credential | MD
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Telephone | 412-464-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD426583
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License Number State | PA
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