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General NPI Number Information
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NPI Number | 1841529229
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Entity Type | Organization
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Legal Business Name | CATHY ZARZECKI PHYSICIAN, PC
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Dates
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Enumeration Date | 12/15/2009
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Last Update Date | 01/04/2010
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Provider Practice Location Address
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Address Line | 11 ALVENA AVE SUITE 105
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City | CORTLAND
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State | NY
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Zip | 13045-1150
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Country | US
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Telephone | 607-753-3774
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Fax | 607-753-3947
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Provider Business Mailing Address
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Address Line | 11 ALVENA AVE SUITE 105
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City | CORTLAND
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State | NY
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Zip | 13045-1150
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Country | US
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Telephone | 607-753-3774
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Fax | 607-753-3947
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CATHY ZARZECKI
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Credential | M.D.
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Telephone | 607-753-3774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 211743
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License Number State | NY
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