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General NPI Number Information
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NPI Number | 1225170822
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Entity Type | Individual
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Provider Name | JOSEPH L ZAKARIJA DDS
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Gender | Male
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 09/27/2012
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Provider Practice Location Address
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Address Line | 2730 MCFARLAND RD
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City | ROCKFORD
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State | IL
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Zip | 61107-6888
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Country | US
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Telephone | 815-637-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 2730 MCFARLAND RD
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City | ROCKFORD
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State | IL
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Zip | 61107-6888
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Country | US
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Telephone | 815-637-1700
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 019-019200
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License Number State | IL
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