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General NPI Number Information
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NPI Number | 1952362667
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Entity Type | Individual
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Provider Name | FRANK T SCONZO JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 12/13/2017
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Provider Practice Location Address
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Address Line | 286 SILLS RD SUITE 5
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-8810
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Country | US
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Telephone | 631-654-3100
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Fax | 631-654-0212
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Provider Business Mailing Address
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Address Line | 286 SILLS RD SUITE 5
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-8810
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Country | US
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Telephone | 631-654-3100
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Fax | 631-654-0212
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 160307
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License Number State | NY
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