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General NPI Number Information
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NPI Number | 1164310769
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Entity Type | Individual
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Provider Name | ZACHARY PAUL SHERIDAN PA
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Gender | Male
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 766 US HIGHWAY 202/206 STE 1
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-1777
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Country | US
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Telephone | 908-722-0808
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Fax |
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Provider Business Mailing Address
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Address Line | 766 US HIGHWAY 202/206 STE 1
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-1777
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Country | US
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Telephone | 908-722-0808
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00938400
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License Number State | NJ
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