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General NPI Number Information
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NPI Number | 1407951361
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Entity Type | Individual
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Provider Name | STEPHEN JOSEPH KRIVDA M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 6900 GEORGIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20307-0003
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Country | US
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Telephone | 202-782-6173
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Fax | 202-782-9118
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Provider Business Mailing Address
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Address Line | 9717 BYEFORDE RD
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City | KENSINGTON
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State | MD
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Zip | 20895-3612
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Country | US
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Telephone | 301-942-7110
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Fax | 202-782-9118
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 186933
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 186933
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | D57715
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | D57715
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License Number State | MD
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