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General NPI Number Information
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NPI Number | 1881915890
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Entity Type | Individual
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Provider Name | MARTIN JOHN SZAFRAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2010
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Last Update Date | 10/03/2012
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Provider Practice Location Address
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Address Line | STONY BROOK ANAESTHESIOLOGY UFPC 100 NICOLLS RD HSC LEVEL 4, #060
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City | STONY BROOK
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State | NY
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Zip | 11794-8480
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Country | US
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Telephone | 631-444-2975
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Fax | 631-444-2907
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Provider Business Mailing Address
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Address Line | PO BOX 1559
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City | STONY BROOK
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State | NY
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Zip | 11790-0989
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Country | US
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Telephone | 631-444-2975
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Fax | 631-444-2907
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036.125143
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License Number State | IL
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