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General NPI Number Information
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NPI Number | 1114686227
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Entity Type | Organization
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Legal Business Name | KHAJA ZAKI MD LLC
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Dates
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Enumeration Date | 12/16/2021
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 5041 WESTSHORE DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-3043
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Country | US
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Telephone | 727-809-3404
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Fax |
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Provider Business Mailing Address
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Address Line | 2410 NORTHSIDE DR
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City | CLEARWATER
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State | FL
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Zip | 33761-2236
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Country | US
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Telephone | 727-499-0351
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Fax | 727-781-3312
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Authorized Official
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Title or Position | MEDICAL DOCTOR/OWNER
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Name | KHAJA ZAKI
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Credential | MD
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Telephone | 727-809-3404
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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 |
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License Number State |
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