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General NPI Number Information
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NPI Number | 1043224397
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Entity Type | Individual
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Provider Name | NATHAN D ZILZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 7700 E FLORENTINE RD STE 206 CARDIOLOGY CLINIC 2ND FLOOR
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-2245
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Country | US
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Telephone | 928-442-8117
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Fax | 928-442-8932
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Provider Business Mailing Address
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Address Line | 7700 E FLORENTINE RD STE 206
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-2245
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Country | US
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Telephone | 928-442-8117
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD-16338
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 52031
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License Number State | AZ
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