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General NPI Number Information
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NPI Number | 1851897466
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Entity Type | Organization
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Legal Business Name | JOHN A. PILAVAS MD PLLC
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 04/03/2018
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Provider Practice Location Address
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Address Line | 2509 31ST AVE
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City | ASTORIA
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State | NY
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Zip | 11106-3620
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Country | US
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Telephone | 718-204-5100
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Fax | 718-204-2580
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Provider Business Mailing Address
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Address Line | 2509 31ST AVE
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City | ASTORIA
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State | NY
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Zip | 11106-3620
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Country | US
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Telephone | 718-204-5100
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Fax | 718-204-2580
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Authorized Official
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Title or Position | MD
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Name | JOHN A PILAVAS
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Credential | MD
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Telephone | 718-204-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 274392
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License Number State | NY
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