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General NPI Number Information
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NPI Number | 1124642483
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Entity Type | Individual
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Provider Name | ZACHARY ALEXANDER MARINAKIS DDS
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Gender | Male
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Dates
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Enumeration Date | 06/02/2020
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Last Update Date | 06/02/2020
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Provider Practice Location Address
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Address Line | 2945 NEW BERN AVE
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City | RALEIGH
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State | NC
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Zip | 27610-1213
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Country | US
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Telephone | 919-834-4932
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Fax |
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Provider Business Mailing Address
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Address Line | 9323 REEDYBROOK XING
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City | APEX
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State | NC
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Zip | 27523-7571
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Country | US
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Telephone | 919-602-2846
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 11797
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License Number State | NC
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