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General NPI Number Information
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NPI Number | 1790349009
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Entity Type | Individual
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Provider Name | CHRISTOPHER EDWARD ZIELINSKI
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Gender | Male
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Dates
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Enumeration Date | 04/23/2019
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Last Update Date | 04/23/2019
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Provider Practice Location Address
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Address Line | 1518 WALNUT ST STE 1000
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City | PHILADELPHIA
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State | PA
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Zip | 19102-3411
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Country | US
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Telephone | 267-603-3161
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Fax |
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Provider Business Mailing Address
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Address Line | 2620 SALMON ST
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City | PHILADELPHIA
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State | PA
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Zip | 19125-4013
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Country | US
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Telephone | 484-479-4813
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Fax |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State | PA
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