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General NPI Number Information
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NPI Number | 1114165933
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Entity Type | Organization
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Legal Business Name | SUSAN ZEVELOFF MD LLC
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 136 NORTH WASHINGTON AVENUE SUITE 102
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City | BERGENFIELD
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State | NJ
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Zip | 07621-1738
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Country | US
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Telephone | 201-387-2040
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Fax |
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Provider Business Mailing Address
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Address Line | 22 RIDGE RD
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City | TENAFLY
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State | NJ
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Zip | 07670-2324
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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 | MD
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Name | DR. SUSAN ZEVELOFF
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Credential |
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Telephone | 201-387-2040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MAO48181
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License Number State | NJ
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