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General NPI Number Information
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NPI Number | 1992284525
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Entity Type | Individual
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Provider Name | LOUIS A ZOLLO
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Gender | Male
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 3175 23RD ST STE 410
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City | ASTORIA
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State | NY
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Zip | 11106-4134
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Country | US
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Telephone | 800-350-8119
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Fax | 800-349-5058
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Provider Business Mailing Address
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Address Line | 8621 ROBERT FULTON DR
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City | COLUMBIA
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State | MD
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Zip | 21046-2620
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Country | US
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Telephone | 410-953-4714
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Fax | 410-953-5207
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 045392
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License Number State | NY
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