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General NPI Number Information
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NPI Number | 1245610872
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Entity Type | Individual
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Provider Name | ZACHARY AUSTIN MASTERS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 774 PRIOR HALL 376 W 10TH AVE
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City | COLUMBUS
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State | OH
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Zip | 43210
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Country | US
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Telephone | 614-293-8306
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Fax |
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Provider Business Mailing Address
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Address Line | 774 PRIOR HALL 376 W 10TH AVE
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City | COLUMBUS
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State | OH
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Zip | 43210
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Country | US
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Telephone | 614-293-8306
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | 29456
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 57.258496
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License Number State | OH
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