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NPI 1285079293

NPI 1285079293 : CHRISTOPHER PAPADOPOULOS D.O. : HUNTINGTON, NY

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General NPI Number Information
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    NPI Number           |    1285079293
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER PAPADOPOULOS D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/03/2013
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    Last Update Date     |    02/24/2020
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Provider Practice Location Address
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    Address Line         |    270 PARK AVE 
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    City                 |    HUNTINGTON
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    State                |    NY
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    Zip                  |    11743-2787
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    Country              |    US
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    Telephone            |    631-404-8282
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3 LOUIS DR 
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    City                 |    MELVILLE
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    State                |    NY
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    Zip                  |    11747-1901
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    Country              |    US
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    Telephone            |    631-404-8282
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    289258
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    289258-1
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    License Number State |    NY
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