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General NPI Number Information
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NPI Number | 1215005830
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Entity Type | Individual
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Provider Name | KENNETH ERIC ZELSDORF NP
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Gender | Male
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 01/19/2016
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Provider Practice Location Address
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Address Line | 1560 W LACEY BLVD SUITE 101
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City | HANFORD
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State | CA
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Zip | 93230-3581
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Country | US
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Telephone | 559-772-8285
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Fax | 559-772-8312
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Provider Business Mailing Address
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Address Line | 2135 BEECHWOOD CT
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City | HANFORD
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State | CA
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Zip | 93230-1557
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Country | US
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Telephone | 559-309-3875
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | NP 16481
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License Number State | CA
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