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General NPI Number Information
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NPI Number | 1437365319
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Entity Type | Individual
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Provider Name | ANNIKA EVELYN KRYSTYNA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 11/16/2024
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Provider Practice Location Address
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Address Line | 49 ROBINWOOD AVE
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City | JAMAICA PLAIN
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State | MA
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Zip | 02130-2156
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Country | US
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Telephone | 617-522-4400
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Fax | 617-390-1590
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Provider Business Mailing Address
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Address Line | 49 ROBINWOOD AVE
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City | JAMAICA PLAIN
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State | MA
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Zip | 02130-2156
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Country | US
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Telephone | 617-522-4400
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Fax | 617-390-1590
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 252640
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 252640
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 234011
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 252640
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 252640
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 234011
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License Number State | MA
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 234011
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License Number State | MA
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