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General NPI Number Information
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NPI Number | 1649364936
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Entity Type | Organization
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Legal Business Name | E ZAPPI DERMATOPATHOLOGY LAB INC.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 6311 QUEENS BLVD
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City | WOODSIDE
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State | NY
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Zip | 11377-5764
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Country | US
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Telephone | 718-458-7400
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Fax | 718-478-8940
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Provider Business Mailing Address
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Address Line | 6311 QUEENS BLVD
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City | WOODSIDE
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State | NY
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Zip | 11377-5764
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Country | US
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Telephone | 718-458-7400
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Fax | 718-478-8940
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDUARDO ZAPPI
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Credential | MD
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Telephone | 718-458-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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