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General NPI Number Information
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NPI Number | 1568903250
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Entity Type | Organization
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Legal Business Name | ZOYA ZAK DDS PC
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Dates
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Enumeration Date | 03/14/2017
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 57 W 57TH ST STE 803
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City | NEW YORK
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State | NY
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Zip | 10019-2802
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Country | US
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Telephone | 212-752-0996
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Fax |
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Provider Business Mailing Address
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Address Line | 57 W 57TH ST STE 803
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City | NEW YORK
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State | NY
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Zip | 10019-2802
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Country | US
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Telephone | 212-752-0996
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ZOYA ZAK
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Credential |
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Telephone | 212-750-0996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 050251-1
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License Number State | NY
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