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General NPI Number Information
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NPI Number | 1003976671
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Entity Type | Individual
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Provider Name | JAMES E ZENEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 14540 CORTEZ BLVD BROOKSVILLE VA COMMUNITY BASED CLINIC, STE 108
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City | BROOKSVILLE
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State | FL
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Zip | 34613-6056
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Country | US
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Telephone | 352-587-8287
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Fax | 352-597-7161
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Provider Business Mailing Address
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Address Line | 14540 CORTEZ BLVD. STE. 108 BROOKSVILLE VA COMMUNITY BASED OUTPATIENT CLINIC
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City | BROOKSVILLE
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State | FL
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Zip | 34613-0000
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Country | US
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Telephone | 352-597-8287
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Fax | 352-597-9816
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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 | ME55998
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License Number State | FL
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