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General NPI Number Information
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NPI Number | 1538426754
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Entity Type | Individual
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Provider Name | ZEAH NATASHA VENITELLI M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 04/12/2012
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Provider Practice Location Address
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Address Line | 1111 AMSTERDAM AVE ST. LUKES HOSPITAL, GME OFFICE
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City | NEW YORK
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State | NY
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Zip | 10025-1737
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Country | US
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Telephone | 212-523-3186
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Fax |
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Provider Business Mailing Address
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Address Line | 50 PRESIDENTIAL PLZ APT# 2401
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City | SYRACUSE
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State | NY
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Zip | 13202-2229
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Country | US
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Telephone | 315-525-1622
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4541
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License Number State | NY
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