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General NPI Number Information
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NPI Number | 1083704134
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Entity Type | Individual
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Provider Name | JAMES MATTHEW ZAENGLEIN MD
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 09/07/2019
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Provider Practice Location Address
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Address Line | 8800 MCKENNA DR
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City | JACKSONVILLE
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State | FL
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Zip | 32226-2433
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Country | US
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Telephone | 904-251-3307
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Fax |
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Provider Business Mailing Address
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Address Line | 5655 HUDSON DR STE 210 ARIS RADIOLOGY
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City | HUDSON
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State | OH
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Zip | 44236-4455
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Country | US
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Telephone | 330-655-1869
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Fax | 330-655-3828
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD2003-0775
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MEDS5514
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME67114
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License Number State | FL
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