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General NPI Number Information
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NPI Number | 1528636776
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Entity Type | Individual
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Provider Name | ELIZA ZENCZYKIEWICZ AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 06/15/2021
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Provider Practice Location Address
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Address Line | 201 E UNIVERSITY PKWY
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City | BALTIMORE
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State | MD
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Zip | 21218-2829
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Country | US
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Telephone | 410-554-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 EXMOOR LN
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City | BEL AIR
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State | MD
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Zip | 21015-6068
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Country | US
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | R213244
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License Number State | MD
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