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General NPI Number Information
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NPI Number | 1942318126
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Entity Type | Individual
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Provider Name | ALBERT J ZAZZALI MD
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Gender | Male
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 07/31/2018
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Provider Practice Location Address
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Address Line | 670 FRANKLIN AVE
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City | NUTLEY
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State | NJ
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Zip | 07110
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Country | US
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Telephone | 973-844-0511
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 194
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City | SADDLE RIVER
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State | NJ
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Zip | 07458-0194
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Country | US
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Telephone | 917-887-3185
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MA067813
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 211363
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License Number State | NY
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