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General NPI Number Information
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NPI Number | 1417153917
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Entity Type | Organization
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Legal Business Name | CHESTER ZARNOCH
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 175 DERBY ST SUITE 38
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City | HINGHAM
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State | MA
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Zip | 02043-4007
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Country | US
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Telephone | 781-749-2050
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Fax | 781-749-2125
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Provider Business Mailing Address
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Address Line | 175 DERBY ST SUITE 38
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City | HINGHAM
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State | MA
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Zip | 02043-4007
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Country | US
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Telephone | 781-749-2050
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Fax | 781-749-2125
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHESTER WILLIAM ZARNOCH
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Credential | MD
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Telephone | 781-749-2050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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