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General NPI Number Information
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NPI Number | 1154416113
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Entity Type | Individual
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Provider Name | LAWRENCE ANTHONY ZOLNIK M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 50 EASTDALE AVE N
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603
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Country | US
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Telephone | 845-437-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 243 NORTH RD STE 304
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-1173
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Country | US
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Telephone | 845-437-5000
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 144501
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License Number State | NY
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