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General NPI Number Information
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NPI Number | 1033427141
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Entity Type | Organization
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Legal Business Name | ALEXANDER ZLATNIK MD,PHD,PC
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 09/23/2010
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Provider Practice Location Address
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Address Line | 8597 BUSTLETON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19152-1215
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Country | US
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Telephone | 215-725-9100
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Fax | 215-725-9102
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Provider Business Mailing Address
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Address Line | 8597 BUSTLETON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19152-1215
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Country | US
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Telephone | 215-725-9100
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Fax | 215-725-9102
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | MR. ALEXANDER A ZLATNIK
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Credential | MD
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Telephone | 215-725-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD057614L
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License Number State | PA
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