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General NPI Number Information
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NPI Number | 1780875484
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Entity Type | Organization
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Legal Business Name | ZEUS CORPORATION
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 227 CHELMSFORD ST
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City | CHELMSFORD
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State | MA
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Zip | 01824-2305
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Country | US
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Telephone | 978-250-0032
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Fax | 978-256-1348
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Provider Business Mailing Address
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Address Line | 227 CHELMSFORD ST
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City | CHELMSFORD
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State | MA
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Zip | 01824-2305
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Country | US
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Telephone | 978-250-0032
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Fax | 978-256-1348
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TANYA ZOUZAS
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Credential | D.O.
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Telephone | 978-250-0032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 208471
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License Number State | MA
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