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General NPI Number Information
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NPI Number | 1730694209
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Entity Type | Organization
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Legal Business Name | BRIAN A. ZELASKO, DC, PC
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Dates
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Enumeration Date | 12/06/2017
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Last Update Date | 12/06/2017
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Provider Practice Location Address
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Address Line | 3075 SOUTHWESTERN BLVD STE 200
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1236
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Country | US
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Telephone | 716-677-5525
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Fax | 716-462-4687
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Provider Business Mailing Address
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Address Line | 3075 SOUTHWESTERN BLVD STE 200
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1236
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Country | US
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Telephone | 716-677-5525
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Fax | 716-462-4687
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN A ZELASKO
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Credential | DC
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Telephone | 716-677-5525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 011544-1
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License Number State | NY
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