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General NPI Number Information
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NPI Number | 1346348141
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Entity Type | Individual
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Provider Name | ROGER I ZITMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10000 BAY PINES BLVD VAMC BAY PINES
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City | BAY PINES
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State | FL
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Zip | 33744-5008
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Country | US
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Telephone | 727-398-6661
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Fax | 727-319-1075
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Provider Business Mailing Address
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Address Line | 13096 103RD AVE. NORTH
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City | LARGO
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State | FL
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Zip | 33774-5608
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Country | US
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Telephone | 727-593-5269
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME 57180
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License Number State | FL
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