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General NPI Number Information
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NPI Number | 1578698486
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Entity Type | Individual
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Provider Name | PAUL AUGUST GIANAKON M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 801 E PULASKI HWY STE 143
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City | ELKTON
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State | MD
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Zip | 21921-6671
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Country | US
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Telephone | 855-922-1202
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Fax | 888-314-7961
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Provider Business Mailing Address
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Address Line | 329 DETJEN DR
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City | HOCKESSIN
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State | DE
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Zip | 19707-1910
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Country | US
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Telephone | 302-494-9596
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0045088
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License Number State | MD
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