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General NPI Number Information
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NPI Number | 1619976727
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Entity Type | Individual
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Provider Name | BARRY S ZELESNICK O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 120 N STEPHEN PL
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City | HANOVER
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State | PA
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Zip | 17331-1937
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Country | US
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Telephone | 717-632-7727
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Fax | 717-632-8745
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Provider Business Mailing Address
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Address Line | 120 N STEPHEN PL
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City | HANOVER
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State | PA
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Zip | 17331-1937
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Country | US
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Telephone | 717-632-7727
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Fax | 717-632-8745
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OEG000159
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | TA0619
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License Number State | MD
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