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General NPI Number Information
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NPI Number | 1144524604
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Entity Type | Organization
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Legal Business Name | ZOE A. WEINSTEIN MD PC
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Dates
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Enumeration Date | 12/27/2010
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Last Update Date | 12/12/2014
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Provider Practice Location Address
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Address Line | 117 MARY'S AVE, SUITE 203
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City | KINGSTON
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State | NY
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Zip | 12401
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Country | US
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Telephone | 845-383-1759
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Fax | 845-383-1782
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Provider Business Mailing Address
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Address Line | 117 MARY'S AVE, SUITE 203
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City | KINGSTON
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State | NY
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Zip | 12401
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Country | US
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Telephone | 845-383-1759
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Fax | 845-383-1782
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Authorized Official
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Title or Position | OWNER
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Name | DR. ZOE A WEINSTEIN
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Credential | M.D.
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Telephone | 845-334-3180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 217785
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License Number State | NY
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