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General NPI Number Information
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NPI Number | 1144542606
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Entity Type | Organization
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Legal Business Name | THE ZANNIS CENTER FOR PLASTIC SURGERY PA
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 06/10/2010
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Provider Practice Location Address
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Address Line | 2021 NEUSE BLVD
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City | NEW BERN
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State | NC
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Zip | 28560
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Country | US
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Telephone | 252-633-1197
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 NEUSE BOULEVARD
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City | NEW BERN
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State | NC
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Zip | 28560
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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 | PRESIDENT/OWNER
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Name | DR. JOHN ZANNIS
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Credential | M.D.
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Telephone | 252-633-1197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 200901125
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 200901125
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License Number State | NC
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