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General NPI Number Information
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NPI Number | 1053641100
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Entity Type | Individual
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Provider Name | JONATHAN DAVID ZAHLER D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2010
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Last Update Date | 07/20/2011
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Provider Practice Location Address
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Address Line | 278 BENEDICT AVE ST. #300
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City | NORWALK
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State | OH
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Zip | 44857-2399
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Country | US
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Telephone | 419-668-3295
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Fax | 419-668-8861
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Provider Business Mailing Address
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Address Line | 278 BENEDICT AVE STE 300
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City | NORWALK
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State | OH
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Zip | 44857-8892
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Country | US
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Telephone | 419-668-3295
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Fax | 419-668-8861
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 009858
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License Number State | OH
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