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General NPI Number Information
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NPI Number | 1871872259
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Entity Type | Organization
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Legal Business Name | ZENITRAM MEDICAL PC
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Dates
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Enumeration Date | 08/16/2011
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Last Update Date | 08/16/2011
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Provider Practice Location Address
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Address Line | 315 E 65TH ST APT 2B
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City | NEW YORK
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State | NY
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Zip | 10065-6862
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Country | US
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Telephone | 212-249-2943
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Fax |
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Provider Business Mailing Address
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Address Line | 315 E 65TH ST APT 2B
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City | NEW YORK
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State | NY
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Zip | 10065-6862
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Country | US
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Telephone | 212-249-2943
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MANUEL MARTINEZ
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Credential |
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Telephone | 212-249-2943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 217099
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License Number State | NY
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