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General NPI Number Information
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NPI Number | 1467590281
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Entity Type | Individual
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Provider Name | ZBIGNIEW GOLONKA PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 135 N GEORGE ST CGA PROFESSIONAL CENTER
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City | YORK
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State | PA
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Zip | 17401-1132
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Country | US
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Telephone | 877-777-5393
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Fax |
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Provider Business Mailing Address
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Address Line | 8764 STONEHOUSE DR
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-1931
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Country | US
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Telephone | 203-598-1796
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS008551L
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License Number State | PA
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