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General NPI Number Information
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NPI Number | 1235294604
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Entity Type | Individual
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Provider Name | ZACHARY E. GERUT M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 16890 COLCHESTER CT
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6983
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Country | US
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Telephone | 165-242-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 16890 COLCHESTER CT
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6983
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Country | US
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Telephone | 165-242-7500
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 149739
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME170720
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License Number State | FL
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