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General NPI Number Information
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NPI Number | 1942564943
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Entity Type | Individual
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Provider Name | STEFAN GEORGE KAZACOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/25/2012
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | LANDSTUHL REGIONAL MEDICAL CENTER DR. HIZELBERGER STRASSE
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City | LANDSTUHL
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State | RHINELAND PFALZ
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Zip | 66849
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Country | DE
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Telephone | 314-528-6027
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 422 BOX 458
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City | APO
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State | AE
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Zip | 09067-0005
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Country | US
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Telephone | 609-849-8152
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | RTP 005634
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD60757748
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License Number State | WA
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