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General NPI Number Information
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NPI Number | 1629053061
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Entity Type | Individual
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Provider Name | DAVID M ZIENTEK MD
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Gender | Male
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 10/28/2016
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Provider Practice Location Address
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Address Line | 6811 AUSTIN CENTER BLVD SUITE 410
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City | AUSTIN
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State | TX
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Zip | 78731-3146
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Country | US
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Telephone | 512-324-2705
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Fax | 512-324-2706
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Provider Business Mailing Address
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Address Line | 4616 W HOWARD LN
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City | AUSTIN
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State | TX
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Zip | 78728-6300
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Country | US
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Telephone | 512-324-8960
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Fax | 512-324-8906
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | J1821
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | J1821
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License Number State | TX
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