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General NPI Number Information
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NPI Number | 1154733152
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Entity Type | Individual
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Provider Name | ZACHARY THOMAS FELLOWS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2014
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Last Update Date | 01/18/2026
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Provider Practice Location Address
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Address Line | 6120 PASEO DEL NORTE STE L2
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City | CARLSBAD
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State | CA
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Zip | 92011-1149
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Country | US
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Telephone | 760-891-4687
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Fax | 760-684-8715
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Provider Business Mailing Address
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Address Line | 6120 PASEO DEL NORTE STE L2
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City | CARLSBAD
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State | CA
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Zip | 92011-1149
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Country | US
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Telephone | 760-891-4687
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Fax | 760-684-8715
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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 | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number | A144510
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A144510
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A144510
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License Number State | CA
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