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General NPI Number Information
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NPI Number | 1619060951
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Entity Type | Individual
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Provider Name | ZENON CIOPYK O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/01/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 117 E UNION ST
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City | NEWARK
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State | NY
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Zip | 14513-1503
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Country | US
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Telephone | 315-331-7917
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Fax | 315-331-7917
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Provider Business Mailing Address
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Address Line | 3336 LAKES CORNERS ROSE VALLEY RD
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City | CLYDE
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State | NY
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Zip | 14433-9724
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Country | US
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Telephone | 315-587-4092
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4269
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License Number State | NY
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