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General NPI Number Information
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NPI Number | 1447285556
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Entity Type | Individual
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Provider Name | VIKTOR ZHEREBITSKIY MD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 11/12/2015
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Provider Practice Location Address
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Address Line | ROYAL UNIVERSITY HOSPITAL, DEPARTMENT OF PATHOLOGY, 103 HOSPITAL DRIVE
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City | SASKATOON
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State | SK
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Zip | S7N 0W8
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Country | CA
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Telephone | 306-655-2221
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Fax | 306-655-0235
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Provider Business Mailing Address
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Address Line | ROYAL UNIVERSITY HOSPITAL, DEPARTMENT OF PATHOLOGY, 103 HOSPITAL DRIVE
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City | SASKATOON
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State | SK
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Zip | S7N 0W8
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Country | CA
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Telephone | 306-655-2221
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Fax | 306-655-0235
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 55529
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207ZN0500X
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Taxonomy Name | Neuropathology Physician
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License Number | 55529
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License Number State | MN
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