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General NPI Number Information
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NPI Number | 1114910775
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Entity Type | Individual
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Provider Name | DAISY SARAMA ZACHARIAH MD
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Gender | Female
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Dates
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Enumeration Date | 08/29/2005
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 6105 PANORAMA DR NE
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City | TACOMA
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State | WA
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Zip | 98422
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Country | US
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Telephone | 253-952-6917
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Fax | 253-476-1437
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Provider Business Mailing Address
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Address Line | 6105 PANORAMA DR NE
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City | TACOMA
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State | WA
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Zip | 98422
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Country | US
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Telephone | 253-952-6917
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Fax | 253-476-1437
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | MD00017284
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License Number State | WA
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