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General NPI Number Information
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NPI Number | 1245539923
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Entity Type | Individual
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Provider Name | PETER MICHAEL STASKO DPM
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Gender | Male
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 06/18/2015
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Provider Practice Location Address
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Address Line | 875 PRE EMPTION RD
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City | GENEVA
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State | NY
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Zip | 14456-2042
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Country | US
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Telephone | 315-789-5061
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Fax |
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Provider Business Mailing Address
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Address Line | 1792 OPAL DR
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City | FARMINGTON
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State | NY
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Zip | 14425-9710
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Country | US
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Telephone | 585-356-4116
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC006143
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 006538
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License Number State | NY
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