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General NPI Number Information
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NPI Number | 1023448834
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Entity Type | Organization
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Legal Business Name | ZARICK DENTISTRY LLC
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Dates
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Enumeration Date | 11/14/2013
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Last Update Date | 11/14/2013
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Provider Practice Location Address
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Address Line | 1151 BETHEL RD SUITE 203
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City | COLUMBUS
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State | OH
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Zip | 43220-2775
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Country | US
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Telephone | 614-451-0341
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Fax | 614-451-1124
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Provider Business Mailing Address
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Address Line | 1151 BETHEL RD SUITE 203
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City | COLUMBUS
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State | OH
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Zip | 43220-2775
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Country | US
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Telephone | 614-451-0341
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Fax | 614-451-1124
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | SARAH ZARICK
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Credential | DDS
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Telephone | 614-451-0341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 30022201
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License Number State | OH
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