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General NPI Number Information
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NPI Number | 1205947678
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Entity Type | Organization
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Legal Business Name | ZONECI MEDICAL PLLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 2561 LAC DE VILLE BLVD STE 102
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City | ROCHESTER
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State | NY
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Zip | 14618-5645
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Country | US
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Telephone | 585-424-3410
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Fax | 585-214-0042
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Provider Business Mailing Address
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Address Line | 2561 LAC DE VILLE BLVD STE 102
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City | ROCHESTER
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State | NY
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Zip | 14618-5645
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Country | US
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Telephone | 585-424-3410
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Fax | 585-214-0042
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Authorized Official
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Title or Position | OWNER
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Name | CHARLENE VITALE
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Credential | MD
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Telephone | 585-424-3410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 186511-1
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License Number State | NY
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