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NPI 1154200681

NPI 1154200681 : ZACHARY WILLIAM RANSOM DDS : BECKLEY, WV

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General NPI Number Information
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    NPI Number           |    1154200681
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    Entity Type          |    Individual 
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    Provider Name        |    ZACHARY WILLIAM RANSOM DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/28/2025
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    Last Update Date     |    08/28/2025
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Provider Practice Location Address
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    Address Line         |    102 GALLERIA PLZ 
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    City                 |    BECKLEY
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    State                |    WV
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    Zip                  |    25801-3162
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    Country              |    US
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    Telephone            |    681-207-7063
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    600 SKYLINE DR 
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    City                 |    GLEN MORGAN
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    State                |    WV
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    Zip                  |    25813-7720
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    Country              |    US
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    Telephone            |    304-575-2460
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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       |    4813
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    License Number State |    WV
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    4813
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    License Number State |    WV
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