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General NPI Number Information
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NPI Number | 1750254488
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Entity Type | Individual
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Provider Name | MARIUSZ SAPIJASZKO MD, FRCP, MMS
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Gender | Male
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 950-10665 JASPER AVE NW
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City | EDMONTON
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State | AB
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Zip | T5J3S9
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Country | CA
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 11969 JASPER AVE NW 3102
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City | EDMONTON
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State | AB
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Zip | T5K0P1
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Country | CA
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Telephone |
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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 | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | A72162
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | A72162
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A72162
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License Number State | CA
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