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General NPI Number Information
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NPI Number | 1114487063
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Entity Type | Individual
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Provider Name | ZACHARY D LOEFFELHOLZ MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 403 BURKARTH RD
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City | WARRENSBURG
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State | MO
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Zip | 64093-3101
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Country | US
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Telephone | 660-747-2228
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Fax | 660-747-7677
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Provider Business Mailing Address
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Address Line | 1517 S THERESA AVE UNIT 305
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City | SAINT LOUIS
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State | MO
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Zip | 63104-1394
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Country | US
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Telephone | 402-960-5823
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2024027296
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License Number State | MO
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