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General NPI Number Information
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NPI Number | 1013494319
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Entity Type | Individual
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Provider Name | ZACHARY DUNBAR MS, LAT, ATC
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Gender | Male
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 11001 OWINGS MILLS BLVD
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City | OWINGS MILLS
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State | MD
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Zip | 21117-2857
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Country | US
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Telephone | 585-689-4488
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Fax |
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Provider Business Mailing Address
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Address Line | 11001 OWINGS MILLS BLVD
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City | OWINGS MILLS
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State | MD
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Zip | 21117-2857
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Country | US
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Telephone | 585-689-4488
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL5352
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | A0001358
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License Number State | MD
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