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General NPI Number Information
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NPI Number | 1871566935
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Entity Type | Organization
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Legal Business Name | PENINSULA NEUROSURGICAL ASSOCIATES PA
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 12/21/2009
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Provider Practice Location Address
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Address Line | 540 SNOW HILL RD
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City | SALISBURY
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State | MD
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Zip | 21804-6031
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Country | US
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Telephone | 410-860-0084
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Fax | 410-860-0411
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Provider Business Mailing Address
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Address Line | 540 SNOW HILL RD
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City | SALISBURY
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State | MD
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Zip | 21804-6031
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Country | US
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Telephone | 410-860-0084
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Fax | 410-860-0411
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Authorized Official
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Title or Position | PRES PENINSULA NEUROSURGICAL ASSOC
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Name | DR. JULIUS D ZANT
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Credential | MD
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Telephone | 410-860-0084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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