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General NPI Number Information
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NPI Number | 1538444567
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Entity Type | Individual
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Provider Name | MARK THOMAS ZRELIAK PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/21/2011
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 2 TAMPA GENERAL CIR
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City | TAMPA
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State | FL
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Zip | 33606-3571
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Country | US
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Telephone | 813-821-8038
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Fax | 813-974-0483
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Provider Business Mailing Address
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Address Line | 342 OAK ST
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City | SHARPSVILLE
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State | PA
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Zip | 16150-1322
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Country | US
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Telephone | 814-777-7787
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA055287
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA55543
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 0110004863
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA9114549
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License Number State | FL
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