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General NPI Number Information
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NPI Number | 1235121682
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Entity Type | Individual
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Provider Name | ALBERT ANTHONY ZACHIK M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/20/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5614 SHIELDS DR
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City | BETHESDA
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State | MD
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Zip | 20817-3532
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Country | US
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Telephone | 301-530-4664
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Fax |
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Provider Business Mailing Address
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Address Line | 12420 OVER RIDGE RD
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City | POTOMAC
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State | MD
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Zip | 20854-3046
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Country | US
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Telephone | 301-340-2975
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | D21222
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License Number State | MD
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