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General NPI Number Information
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NPI Number | 1386092500
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Entity Type | Individual
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Provider Name | JUAN PABLO ZHENLIO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/27/2016
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 139 CENTRE ST STE 512
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City | NEW YORK
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State | NY
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Zip | 10013-4555
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Country | US
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Telephone | 212-431-6433
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Fax |
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Provider Business Mailing Address
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Address Line | 139 CENTRE ST STE 512
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City | NEW YORK
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State | NY
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Zip | 10013-4555
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD17645
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 322737
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License Number State | NY
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