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General NPI Number Information
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NPI Number | 1801992102
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Entity Type | Individual
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Provider Name | LONNIE KAYE ZELTZER M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 09/10/2012
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Provider Practice Location Address
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Address Line | 200 MED PLAZA SUITE 265
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City | LOS ANGELES
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State | CA
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Zip | 90095
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Country | US
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Telephone | 310-825-0731
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Fax | 310-794-2104
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Provider Business Mailing Address
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Address Line | 10833 LE CONTE AVENUE 22-464 MDCC
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City | LOS ANGELES
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State | CA
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Zip | 90095
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Country | US
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Telephone | 310-825-0731
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Fax | 310-794-2104
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | G21507
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License Number State | CA
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