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General NPI Number Information
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NPI Number | 1194837435
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Entity Type | Individual
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Provider Name | MARC A ZECHEL M.D.,D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 29001 CEDAR RD SUITE 680
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City | CLEVELAND
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State | OH
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Zip | 44124-4062
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Country | US
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Telephone | 440-461-1157
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Fax |
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Provider Business Mailing Address
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Address Line | 7809 HOUGH AVE
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City | CLEVELAND
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State | OH
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Zip | 44103-4177
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Country | US
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Telephone | 216-795-1220
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 30.021709
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License Number State | OH
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