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General NPI Number Information
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NPI Number | 1841787082
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Entity Type | Individual
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Provider Name | OLGA LEONIDOVNA MAZUR MD
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Gender | Female
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Dates
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Enumeration Date | 04/13/2018
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 500 HOSPITAL DR
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City | WARRENTON
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State | VA
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Zip | 20186-3027
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Country | US
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Telephone | 540-316-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 500 HOSPITAL DR
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City | WARRENTON
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State | VA
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Zip | 20186-3027
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Country | US
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Telephone | 540-316-5000
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0101278026
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License Number State | VA
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