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General NPI Number Information
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NPI Number | 1174715114
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Entity Type | Individual
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Provider Name | ZSUZSA SZOMBATHYNE MESZAROS M.D., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 09/04/2014
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Provider Practice Location Address
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Address Line | 321 W ONONDAGA ST SUITE 201
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City | SYRACUSE
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State | NY
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Zip | 13202-3207
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Country | US
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Telephone | 315-464-1705
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Fax | 315-464-1719
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Provider Business Mailing Address
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Address Line | 750 E ADAMS ST PBS 330
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City | SYRACUSE
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State | NY
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Zip | 13210-2306
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Country | US
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Telephone | 315-464-1705
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Fax | 315-464-1719
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 251643
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License Number State | NY
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