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General NPI Number Information
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NPI Number | 1780061796
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Entity Type | Organization
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Legal Business Name | DR. TADEUSZ SZTYKOWSKI INC.
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Dates
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Enumeration Date | 04/28/2015
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Last Update Date | 04/28/2015
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Provider Practice Location Address
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Address Line | 191 NASHUA ST
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City | PROVIDENCE
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State | RI
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Zip | 02904-1871
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Country | US
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Telephone | 401-633-0197
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Fax |
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Provider Business Mailing Address
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Address Line | 191 NASHUA ST
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City | PROVIDENCE
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State | RI
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Zip | 02904-1871
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Country | US
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Telephone | 401-633-0197
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STEPHEN MERRILL
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Credential |
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Telephone | 401-434-3550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD07650
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NPP37330
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | DA00020
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License Number State | RI
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