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General NPI Number Information
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NPI Number | 1164673950
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Entity Type | Individual
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Provider Name | ZACHARY D SEITZ PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 05/31/2019
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Provider Practice Location Address
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Address Line | 1911 FALLS VALLEY DR STE 100
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City | RALEIGH
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State | NC
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Zip | 27615-2496
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Country | US
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Telephone | 919-846-3522
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Fax |
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Provider Business Mailing Address
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Address Line | 8605 REINDEER MOSS DR
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City | WAKE FOREST
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State | NC
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Zip | 27587-4837
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Country | US
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Telephone | 814-243-2513
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA053631
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 001004572
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License Number State | NC
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