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General NPI Number Information
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NPI Number | 1154594695
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Entity Type | Organization
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Legal Business Name | JOSEPH K ZACHARIAH, DO, PC
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 04/04/2008
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Provider Practice Location Address
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Address Line | 4723 E DESERT PARK PL
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-2949
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Country | US
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Telephone | 602-486-5956
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Fax | 623-374-2321
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Provider Business Mailing Address
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Address Line | PO BOX 789
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City | PEORIA
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State | AZ
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Zip | 85380-0789
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Country | US
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Telephone | 602-486-5956
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Fax | 623-374-2321
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. JOSEPH K ZACHARIAH
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Credential | DO
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Telephone | 602-791-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 3216
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License Number State | AZ
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