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General NPI Number Information
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NPI Number | 1225599616
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Entity Type | Individual
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Provider Name | JACOB HENRY ZASLAVSKY
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Gender | Male
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 761 MAIN AVE STE 114A
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City | NORWALK
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State | CT
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Zip | 06851-1080
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Country | US
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Telephone | 203-852-2290
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Fax |
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Provider Business Mailing Address
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Address Line | 210 HAVEN RD
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City | FRANKLIN LAKES
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State | NJ
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Zip | 07417-1706
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Country | US
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Telephone | 201-956-2260
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 82275
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License Number State | CT
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