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General NPI Number Information
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NPI Number | 1013024793
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Entity Type | Individual
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Provider Name | RICHARD A ZINNI DO
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Gender | Male
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 13301 MILES AVE
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City | CLEVELAND
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State | OH
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Zip | 44105-5521
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Country | US
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Telephone | 216-751-3100
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Fax | 216-751-2480
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Provider Business Mailing Address
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Address Line | 7956 TYLER BLVD
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City | MENTOR
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State | OH
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Zip | 44060-4806
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Country | US
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Telephone | 440-255-4455
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Fax | 440-255-4487
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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 | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 34.003785
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 34-003785
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34-003785
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License Number State | OH
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