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General NPI Number Information
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NPI Number | 1538121975
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Entity Type | Individual
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Provider Name | JOHN STEPHEN IGNATOWSKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 690 POOLE RD
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City | WESTMINSTER
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State | MD
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Zip | 21157-6003
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Country | US
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Telephone | 410-876-7616
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Fax | 410-751-9891
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Provider Business Mailing Address
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Address Line | 822 WINCHESTER DR
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City | WESTMINSTER
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State | MD
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Zip | 21157-5748
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Country | US
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Telephone | 410-876-2373
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | D0005439
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License Number State | MD
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