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General NPI Number Information
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NPI Number | 1225263528
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Entity Type | Individual
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Provider Name | PAUL R ZELLERS DO
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Gender | Male
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Dates
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Enumeration Date | 05/16/2009
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Last Update Date | 03/03/2021
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Provider Practice Location Address
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Address Line | 36100 EUCLID AVE STE 120
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City | WILLOUGHBY
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State | OH
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Zip | 44094-4426
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Country | US
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Telephone | 440-951-8360
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Fax | 440-951-9408
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Provider Business Mailing Address
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Address Line | 36000 EUCLID AVE # MSO
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City | WILLOUGHBY
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State | OH
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Zip | 44094-4625
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Country | US
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Telephone | 440-953-6082
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Fax | 440-953-6101
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 03482
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 02004603A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 34.010461
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License Number State | OH
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