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General NPI Number Information
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NPI Number | 1053073361
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Entity Type | Individual
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Provider Name | DENNIS VINCENT ZELENAK PA
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Gender | Male
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 740 S LIMESTONE STE B101
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City | LEXINGTON
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State | KY
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Zip | 40536-2425
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Country | US
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Telephone | 859-323-5661
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Fax | 859-323-6411
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Provider Business Mailing Address
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Address Line | 243 CURTISS RD STE 100
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City | BARKSDALE AFB
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State | LA
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Zip | 71110-2425
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 15-02557
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 328272
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA3590
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA3590
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10003412A
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA3590
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License Number State | KY
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