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General NPI Number Information
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NPI Number | 1164270138
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Entity Type | Individual
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Provider Name | TOMAS JULIUS CYVAS
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Gender | Male
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Dates
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Enumeration Date | 05/07/2024
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 2233 STATE ROUTE 86
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City | SARANAC LAKE
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State | NY
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Zip | 12983-5644
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Country | US
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Telephone | 518-891-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 898 TALMADGE AVE
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City | WICKLIFFE
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State | OH
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Zip | 44092-2134
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Country | US
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Telephone | 630-209-8520
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 485015
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 950004
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License Number State | NY
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