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General NPI Number Information
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NPI Number | 1245550151
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Entity Type | Organization
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Legal Business Name | DAVID P. ZAMBO, D.O., LLC
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 06/03/2010
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Provider Practice Location Address
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Address Line | 4263 LONATE DR
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City | NAZARETH
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State | PA
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Zip | 18064-8403
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Country | US
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Telephone | 610-759-5501
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Fax | 610-759-2216
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Provider Business Mailing Address
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Address Line | 4263 LONATE DR
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City | NAZARETH
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State | PA
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Zip | 18064-8403
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Country | US
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Telephone | 610-759-5501
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Fax | 610-759-2216
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Authorized Official
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Title or Position | FAMILY PHYSICIAN/OWNER
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Name | DAVID PAUL ZAMBO
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Credential | D.O.
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Telephone | 610-759-5501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS010281L
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License Number State | PA
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