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General NPI Number Information
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NPI Number | 1457663585
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Entity Type | Individual
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Provider Name | LISA ZOLA MS, MSN, APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 07/06/2010
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 3080 OGDEN AVE #104
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City | LISLE
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State | IL
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Zip | 60532-1691
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Country | US
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Telephone | 203-427-5555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5217
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City | WHEATON
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State | IL
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Zip | 60189-5217
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Country | US
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Telephone | 203-427-5555
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 209.010335
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License Number State | IL
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