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General NPI Number Information
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NPI Number | 1326287913
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Entity Type | Organization
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Legal Business Name | VLASTA ZDRNJA MD PLLC
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 05/26/2010
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Provider Practice Location Address
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Address Line | 240 S MAIN ST
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City | WOLFEBORO
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State | NH
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Zip | 03894-4411
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Country | US
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Telephone | 603-569-0980
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Fax | 603-569-0982
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Provider Business Mailing Address
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Address Line | PO BOX 686
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City | WOLFEBORO
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State | NH
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Zip | 03894-0686
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Country | US
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Telephone | 603-569-0980
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Fax | 603-569-0982
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Authorized Official
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Title or Position | OWNER
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Name | VLASTA ZDRNJA
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Credential | MD
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Telephone | 603-569-0980
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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 |
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License Number State |
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