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General NPI Number Information
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NPI Number | 1790030849
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Entity Type | Individual
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Provider Name | IRYNA BABYCH M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/16/2012
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 700 MEDICAL BLVD
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City | ENGLEWOOD
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State | FL
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Zip | 34223-3964
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Country | US
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Telephone | 941-475-6571
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Fax |
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Provider Business Mailing Address
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Address Line | 700 MEDICAL BLVD
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City | ENGLEWOOD
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State | FL
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Zip | 34223-3964
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Country | US
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 57.019009
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License Number State | OH
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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 | ME117315
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License Number State | FL
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