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General NPI Number Information
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NPI Number | 1144235086
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Entity Type | Individual
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Provider Name | IGOR MIKITYANSKY MD
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Gender | Male
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 8900 N KENDALL DR
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City | MIAMI
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State | FL
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Zip | 33176-2197
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Country | US
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Telephone | 786-596-1426
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Fax |
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Provider Business Mailing Address
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Address Line | 55 SPINDRIFT DR WINDSONG RADIOLOGY GROUP, P.C.
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7800
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Country | US
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Telephone | 716-631-2500
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Fax | 716-631-1249
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD432855
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME137037
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | ME137037
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License Number State | FL
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