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General NPI Number Information
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NPI Number | 1508955980
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Entity Type | Individual
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Provider Name | HAROLD THEODORE ZELTNER MD
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 05/18/2025
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Provider Practice Location Address
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Address Line | 6030 W. HIGHWAY 74, SUITE D
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City | INDIAN TRAIL
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State | NC
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Zip | 28079
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Country | US
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Telephone | 704-316-6561
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Fax | 980-993-7444
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Provider Business Mailing Address
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Address Line | 2000 TAILWOOD DR
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City | WAXHAW
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State | NC
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Zip | 28173-4552
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Country | US
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Telephone | 518-542-7086
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2021-02286
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 128116
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License Number State | NY
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