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General NPI Number Information
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NPI Number | 1255682217
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Entity Type | Individual
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Provider Name | COLIN PRENSKY
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Gender | Male
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Dates
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Enumeration Date | 09/30/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 203 LOTHROP ST FL 8 EEINS, 6TH, 7TH AND 8TH FLOORS
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City | PITTSBURGH
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State | PA
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Zip | 15213-2548
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Country | US
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Telephone | 412-647-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 203 LOTHROP ST FL 8 EEINS, 6TH, 7TH AND 8TH FLOORS
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City | PITTSBURGH
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State | PA
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Zip | 15213-2548
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | MD464387
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License Number State | PA
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