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General NPI Number Information
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NPI Number | 1518908466
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Entity Type | Individual
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Provider Name | RONALD T ZELLEM MD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 119 HIDDEN PT
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City | HENDERSONVILLE
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State | TN
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Zip | 37075
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Country | US
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Telephone | 615-944-3053
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Fax | 615-822-8032
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Provider Business Mailing Address
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Address Line | 242 W. MAIN SREET #233
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City | HENDERSONVILLE
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State | TN
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Zip | 37075
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Country | US
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Telephone | 615-944-3053
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Fax | 615-822-8032
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 036126939
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 20953
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License Number State | TN
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