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General NPI Number Information
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NPI Number | 1871749242
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Entity Type | Individual
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Provider Name | VASILEIOS PANAGOPOULOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2008
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 993 PARK AVE PARK AVENUE MEDICINE & SURGERY
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City | NEW YORK
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State | NY
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Zip | 10028-0921
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Country | US
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Telephone | 949-505-5063
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Fax | 329-202-9979
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Provider Business Mailing Address
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Address Line | 993 PARK AVE PARK AVENUE MEDICINE & SURGERY
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City | NEW YORK
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State | NY
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Zip | 10028-0921
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Country | US
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Telephone | 949-505-5063
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Fax | 329-202-9979
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 275013
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | Q0145
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A138432
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2008012449
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License Number State | MO
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