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General NPI Number Information
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NPI Number | 1083623706
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Entity Type | Individual
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Provider Name | PANAYOTIS-ALAIN EFSTRATIOU MD
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Gender | Male
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 3219 CENTRAL AVE STE 201
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City | KEARNEY
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State | NE
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Zip | 68847
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Country | US
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Telephone | 308-865-7271
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 Q ST STE 500
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City | LINCOLN
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State | NE
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Zip | 68503-3610
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Country | US
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Telephone | 402-328-4572
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Fax | 402-421-0946
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD422294
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 04-35532
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 26071
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License Number State | NE
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