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General NPI Number Information
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NPI Number | 1356360085
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Entity Type | Individual
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Provider Name | DAVID MARK ZELECHOSKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 05/20/2020
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Provider Practice Location Address
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Address Line | 7055 WESTBRANCH HWY
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City | LEWISBURG
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State | PA
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Zip | 17837-6808
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Country | US
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Telephone | 570-524-4141
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Fax | 570-524-5218
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Provider Business Mailing Address
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Address Line | 1 HOSPITAL DR SUITE 306
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City | LEWISBURG
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State | PA
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Zip | 17837-9350
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Country | US
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Telephone | 570-522-4110
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Fax | 570-768-3911
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD039218E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD039218E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD039218E
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License Number State | PA
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