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General NPI Number Information
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NPI Number | 1225526551
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Entity Type | Individual
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Provider Name | ZACHARY ZIKI HAND MS, BCBA
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Gender | Male
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Dates
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Enumeration Date | 04/23/2018
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 5951 DUGOUT TER
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-4570
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Country | US
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Telephone | 727-201-2389
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Fax | 855-224-4326
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Provider Business Mailing Address
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Address Line | 3000 MONTROSE AVE UNIT B
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City | RICHMOND
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State | VA
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Zip | 23222-2510
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Country | US
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Telephone | 850-814-9746
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Fax | 850-665-0123
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 4174
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License Number State | MA
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