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General NPI Number Information
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NPI Number | 1366759367
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Entity Type | Individual
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Provider Name | MICHAEL STANLEY SYSKA PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 513 PERRY HWY
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City | PITTSBURGH
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State | PA
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Zip | 15229-1820
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Country | US
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Telephone | 412-931-7751
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Fax |
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Provider Business Mailing Address
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Address Line | 2427 ROLLING FARMS RD
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City | GLENSHAW
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State | PA
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Zip | 15116-2563
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Country | US
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Telephone | 412-427-3168
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP444246
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License Number State | PA
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