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General NPI Number Information
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NPI Number | 1750342150
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Entity Type | Individual
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Provider Name | ZEN B RONDOWSKY O.D.
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Gender | Male
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 1611 MOUNT VERNON RD
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City | DUNWOODY
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State | GA
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Zip | 30338-4224
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Country | US
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Telephone | 770-393-0003
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Fax | 770-393-1557
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Provider Business Mailing Address
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Address Line | 1611 MOUNT VERNON RD
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City | DUNWOODY
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State | GA
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Zip | 30338-4224
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Country | US
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Telephone | 770-393-0003
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Fax | 770-393-1557
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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 | OPT001024
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License Number State | GA
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