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General NPI Number Information
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NPI Number | 1598847758
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Entity Type | Individual
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Provider Name | KRZYSZTOF CHRISTOPHER STEGAWSKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 28515 E BROCKWAY DR
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City | WESTLAKE
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State | OH
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Zip | 44145-5245
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Country | US
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Telephone | 440-781-6240
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Fax |
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Provider Business Mailing Address
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Address Line | 28515 E BROCKWAY DR
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City | WESTLAKE
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State | OH
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Zip | 44145-5245
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Country | US
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Telephone | 440-781-6240
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 35044751
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License Number State | OH
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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 | 29743
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License Number State | IN
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