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General NPI Number Information
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NPI Number | 1578869038
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Entity Type | Individual
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Provider Name | THOMAS JOSEPH ZANELLA DDS
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Gender | Male
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 323 NE 6TH AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5516
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Country | US
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Telephone | 877-227-9892
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Fax | 623-321-6268
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Provider Business Mailing Address
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Address Line | 2550 W UNION HILLS DR SUITE 202
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City | PHOENIX
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State | AZ
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Zip | 85027-5163
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Country | US
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Telephone | 877-227-9892
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Fax | 623-321-6268
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN12230
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License Number State | FL
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