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General NPI Number Information
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NPI Number | 1548401292
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Entity Type | Individual
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Provider Name | ROCCO M ZANINELLI M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/10/2009
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 11 CENTURY HILL DRIVE
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City | LATHAM
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State | NY
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Zip | 12110-2151
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Country | US
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Telephone | 518-713-4595
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Fax | 518-713-4598
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Provider Business Mailing Address
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Address Line | 11 CENTURY HILL DRIVE SUITE 206
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City | LATHAM
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State | NY
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Zip | 12110-2151
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Country | US
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Telephone | 518-713-4595
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Fax | 518-713-4598
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 183941-1
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License Number State | NY
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