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General NPI Number Information
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NPI Number | 1912209339
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Entity Type | Individual
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Provider Name | ANDRE F AVSYANIK CRNA
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Gender | Male
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Dates
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Enumeration Date | 11/18/2010
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 321 GENESEE ST
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City | ONEIDA
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State | NY
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Zip | 13421-2611
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Country | US
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Telephone | 315-363-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 4381 SAGEBRUSH CIR
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City | MANLIUS
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State | NY
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Zip | 13104-9385
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Country | US
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Telephone | 315-272-6577
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 509926
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN589726
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License Number State | PA
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