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General NPI Number Information
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NPI Number | 1164663480
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Entity Type | Individual
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Provider Name | GIULIO ZUCCOLI M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/17/2009
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Last Update Date | 04/26/2018
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Provider Practice Location Address
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Address Line | 3401 CIVIC CENTER WOOD BUILDING, SUITE 2115
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City | PHILADELPHIA
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State | PA
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Zip | 19104
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Country | US
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Telephone | 267-426-2776
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Fax |
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Provider Business Mailing Address
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Address Line | CHILDREN'S HOSPITAL OF PHILADELPHIA 3401 CIVIC CENTER BLVD, WOOD BUILDING SUITE 2115
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City | PHILADELPHIA
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State | PA
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Zip | 19104
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Country | US
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Telephone | 267-426-2776
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Fax | 412-692-6929
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD436007
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License Number State | PA
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