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General NPI Number Information
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NPI Number | 1306997374
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Entity Type | Individual
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Provider Name | MARIO ZARITZKY
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 8100 SW 10TH ST STE 1050
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City | PLANTATION
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State | FL
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Zip | 33324-3277
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Country | US
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Telephone | 954-210-1090
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Fax | 945-210-1085
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Provider Business Mailing Address
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Address Line | 150 HARVESTER DR SUITE 300
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City | BURR RIDGE
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State | IL
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Zip | 60527-5919
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Country | US
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Telephone |
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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 | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | ME154331
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME154331
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License Number State | FL
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