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General NPI Number Information
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NPI Number | 1225009012
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Entity Type | Individual
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Provider Name | ROBERT GEORGE ZELLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 11/14/2016
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Provider Practice Location Address
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Address Line | 1906 BELLEVIEW AVE SE
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City | ROANOKE
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State | VA
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Zip | 24014-1838
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Country | US
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Telephone | 540-981-7122
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Fax | 540-981-7078
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Provider Business Mailing Address
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Address Line | MEDICAL CENTER BLVD
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City | WINSTON SALEM
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State | NC
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Zip | 27157-0001
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Country | US
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Telephone | 336-716-2255
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Fax | 336-716-3202
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 22079
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License Number State | NC
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