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General NPI Number Information
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NPI Number | 1164708939
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Entity Type | Organization
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Legal Business Name | MARK ZELNICK INC
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 2204 FLATBUSH AVE
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City | BROOKLYN
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State | NY
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Zip | 11234-4516
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Country | US
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Telephone | 718-252-0557
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Fax | 718-692-1577
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Provider Business Mailing Address
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Address Line | 2204 FLATBUSH AVE
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City | BROOKLYN
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State | NY
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Zip | 11234-4516
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Country | US
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Telephone | 718-252-0557
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Fax | 718-692-1577
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DR. MARK I ZELNICK
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Credential | AU.D.
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Telephone | 718-252-0557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 452
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License Number State | NY
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