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General NPI Number Information
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NPI Number | 1417183773
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Entity Type | Organization
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Legal Business Name | ZENITH MEDICAL, PC
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Dates
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Enumeration Date | 06/01/2009
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Last Update Date | 06/01/2009
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Provider Practice Location Address
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Address Line | 191 NORTH ST SUITE 212
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City | BUFFALO
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State | NY
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Zip | 14201-1510
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Country | US
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Telephone | 716-882-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 191 NORTH ST SUITE 212
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City | BUFFALO
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State | NY
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Zip | 14201-1510
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Country | US
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Telephone | 716-882-6000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CONRAD R WILLIAMS
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Credential | M.D.
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Telephone | 716-882-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 154261-2
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License Number State | NY
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