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General NPI Number Information
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NPI Number | 1518012509
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Entity Type | Individual
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Provider Name | TRACY REBECCA ZINNER M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/20/2020
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Provider Practice Location Address
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Address Line | 1 BROOKLINE PL SUITE, 521
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City | BROOKLINE
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State | MA
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Zip | 02445-7224
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Country | US
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Telephone | 617-735-8800
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Fax | 617-278-9358
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Provider Business Mailing Address
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Address Line | 1 BROOKLINE PL STE 620
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City | BROOKLINE
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State | MA
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Zip | 02445-7296
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Country | US
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Telephone | 617-735-8800
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Fax | 617-278-9358
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 212991
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License Number State | MA
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