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General NPI Number Information
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NPI Number | 1144218892
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Entity Type | Individual
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Provider Name | ROLAND ZSOLT GERENCER MD
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Gender | Male
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 2250 OSPREY BLVD STE 100
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City | BARTOW
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State | FL
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Zip | 33830-4340
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Country | US
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Telephone | 863-904-6296
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Fax | 866-264-8519
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Provider Business Mailing Address
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Address Line | 13216 MOONDANCE PL NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-8253
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME175645
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License Number State | FL
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