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General NPI Number Information
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NPI Number | 1891450292
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Entity Type | Individual
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Provider Name | ELLIOT ZYGLIS ND
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Gender | Male
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 501 ISLINGTON ST STE 2B
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City | PORTSMOUTH
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State | NH
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Zip | 03801-4288
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Country | US
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Telephone | 603-610-8882
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Fax |
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Provider Business Mailing Address
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Address Line | 36 BEECHSTONE APT 1
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City | PORTSMOUTH
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State | NH
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Zip | 03801-6336
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Country | US
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Telephone | 716-536-3557
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 0048
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License Number State | NH
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