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General NPI Number Information
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NPI Number | 1699769562
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Entity Type | Individual
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Provider Name | DOUGLAS R TRZCINSKI MD
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Gender | Male
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 600 GRESHAM DR STE 204
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City | NORFOLK
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State | VA
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Zip | 23507-1904
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Country | US
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Telephone | 757-388-5680
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Fax | 757-510-9157
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Provider Business Mailing Address
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Address Line | 600 GRESHAM DR STE 204
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City | NORFOLK
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State | VA
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Zip | 23507-1904
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Country | US
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Telephone | 757-388-5680
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Fax | 757-510-9157
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 0101242331
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | 1010242331
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | 0101242331
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License Number State | VA
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