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General NPI Number Information
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NPI Number | 1114185626
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Entity Type | Individual
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Provider Name | MINA ZAKHARY MD
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Gender | Male
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 06/20/2014
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Provider Practice Location Address
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Address Line | 200 W ARBOR DR
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City | SAN DIEGO
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State | CA
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Zip | 92103-9000
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Country | US
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Telephone | 858-552-9126
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Fax |
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Provider Business Mailing Address
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Address Line | 707 S SIERRA AVE UNIT 13
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City | SOLANA BEACH
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State | CA
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Zip | 92075-2641
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Country | US
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Telephone | 607-592-7123
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD443440
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License Number State | PA
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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 | A124821
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License Number State | CA
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