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General NPI Number Information
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NPI Number | 1164412730
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Entity Type | Individual
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Provider Name | ALEXANDER ZONSHAYN MD
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Gender | Male
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Dates
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Enumeration Date | 10/25/2005
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 82 SUNFLOWER WAY
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-5439
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Country | US
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Telephone | 215-275-0897
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11601
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City | PHILADELPHIA
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State | PA
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Zip | 19116-0601
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Country | US
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Telephone | 152-275-0897
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD054720L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD05472L
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License Number State | PA
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