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General NPI Number Information
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NPI Number | 1346193810
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Entity Type | Individual
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Provider Name | MRS. BONNIE BRYANT ZANKER
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Gender | Female
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 178 BELLE RD
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City | BUSKIRK
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State | NY
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Zip | 12028-2203
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Country | US
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Telephone | 518-470-3096
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Fax |
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Provider Business Mailing Address
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Address Line | 178 BELLE RD
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City | BUSKIRK
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State | NY
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Zip | 12028-2203
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Country | US
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Telephone | 518-470-3096
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 797998
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License Number State | NY
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