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General NPI Number Information
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NPI Number | 1831192806
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Entity Type | Individual
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Provider Name | MARIA I PASNICIUC MD
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Gender | Female
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 5794 WIDEWATERS PKWY
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City | SYRACUSE
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State | NY
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Zip | 13214
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Country | US
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Telephone | 315-422-1513
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Fax | 315-422-5890
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Provider Business Mailing Address
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Address Line | 5794 WIDEWATERS PKWY
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City | SYRACUSE
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State | NY
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Zip | 13214-1845
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Country | US
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Telephone | 315-422-1513
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Fax | 315-422-5890
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 263096-1
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License Number State | NY
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