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General NPI Number Information
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NPI Number | 1487728408
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Entity Type | Individual
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Provider Name | ROMAN TELPNER MD
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 01/08/2013
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Provider Practice Location Address
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Address Line | 1676 SUNSET AVE
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City | UTICA
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State | NY
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Zip | 13502-5416
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Country | US
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Telephone | 315-724-3456
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Fax | 315-724-6734
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Provider Business Mailing Address
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Address Line | PO BOX 2000
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City | EAST SYRACUSE
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State | NY
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Zip | 13057
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Country | US
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Telephone | 315-362-5129
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Fax | 315-362-5179
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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 | A91175
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 243079
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License Number State | NY
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