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General NPI Number Information
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NPI Number | 1497868665
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Entity Type | Individual
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Provider Name | DELPHINE ZELASKI P.A.C.
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Gender | Female
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 504 N. MAIN STREET
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City | ROBERSONVILLE
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State | NC
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Zip | 27871
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Country | US
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Telephone | 252-795-5555
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Fax | 252-795-5566
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Provider Business Mailing Address
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Address Line | 504 N. MAIN STREET
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City | ROBERSONVILLE
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State | NC
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Zip | 27871
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Country | US
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Telephone | 252-795-5555
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Fax | 252-795-5566
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 10087
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License Number State | NC
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