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General NPI Number Information
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NPI Number | 1629413398
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Entity Type | Individual
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Provider Name | DANIEL TSEYTLIN DO
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Gender | Male
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Dates
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Enumeration Date | 05/07/2013
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 168 KINSLEY ST STE 10
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City | NASHUA
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State | NH
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Zip | 03060-3634
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Country | US
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Telephone | 603-578-9363
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Fax | 603-578-9539
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Provider Business Mailing Address
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Address Line | C/O ST MARY'S HEALTH SYSTEM - PROVIDER ENROLLMENT PO BOX 7291
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City | LEWISTON
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State | ME
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Zip | 04243-1556
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Country | US
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Telephone | 207-777-8695
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Fax | 207-777-8800
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OT015100
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20427
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | OT015100
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 20427
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License Number State | NH
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