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General NPI Number Information
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NPI Number | 1174784250
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Entity Type | Individual
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Provider Name | IAN ZOLNOWSKI MD
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Gender | Male
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 141 E 33RD ST APT 15C
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City | NEW YORK
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State | NY
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Zip | 10016-4660
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Country | US
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Telephone | 908-625-3298
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Fax |
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Provider Business Mailing Address
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Address Line | 903 SUNSET RDG
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-1323
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Country | US
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Telephone | 908-625-3298
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 263570
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License Number State | NY
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