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General NPI Number Information
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NPI Number | 1508999376
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Entity Type | Individual
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Provider Name | KRISTINA M ZENON NP
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Gender | Female
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 12/13/2010
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Provider Practice Location Address
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Address Line | 5620 MAIN ST
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City | FLUSHING
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State | NY
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Zip | 11355-5046
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Country | US
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Telephone | 718-670-1837
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Fax | 718-661-7186
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Provider Business Mailing Address
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Address Line | 56-45 MAIN STREET W-LL300
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City | FLUSHING
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State | NY
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Zip | 11355-5045
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Country | US
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Telephone | 718-670-1837
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Fax | 718-661-7186
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F3033381
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License Number State | NY
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