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General NPI Number Information
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NPI Number | 1407867625
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Entity Type | Individual
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Provider Name | ELISABETH E VONZEMENSZKY MD
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Gender | Female
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1400 BLACKHORSE HILL RD
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City | COATESVILLE
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State | PA
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Zip | 19320-2040
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Country | US
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Telephone | 610-384-7711
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Fax |
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Provider Business Mailing Address
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Address Line | 704 WHITFORD HILLS RD
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-3343
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Country | US
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Telephone | 610-873-1544
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 169971-1
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License Number State | NY
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