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General NPI Number Information
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NPI Number | 1114981776
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Entity Type | Individual
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Provider Name | VYTAUTAS A PAKALNIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 06/03/2010
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Provider Practice Location Address
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Address Line | 4 MEDICAL PARK RD SUITE 100
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City | COLUMBIA
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State | SC
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Zip | 29203-6807
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Country | US
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Telephone | 803-434-1560
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Fax | 803-434-2387
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Provider Business Mailing Address
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Address Line | 4 MEDICAL PARK RD SUITE 100
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City | COLUMBIA
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State | SC
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Zip | 29203-6807
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Country | US
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Telephone | 803-434-7699
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Fax | 803-434-2387
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 13234
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License Number State | SC
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