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General NPI Number Information
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NPI Number | 1265815187
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Entity Type | Individual
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Provider Name | ZACHARY ADAM ZIMMERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | BELOIT CLINIC 1905 E HUEBBE PARKWAY
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City | BELOIT
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State | WI
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Zip | 53511-1842
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Country | US
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Telephone | 608-364-2400
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Fax | 608-363-7376
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Provider Business Mailing Address
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Address Line | BELOIT HEALTH SYSTEM 1905 E. HUEBBE PARKWAY
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City | BELOIT
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State | WI
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Zip | 53511-1842
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Country | US
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Telephone | 608-364-2400
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Fax | 608-363-7376
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 7590
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 036-151049
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | 036151049
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | 036-151049
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | 75795-20
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License Number State | WI
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Taxonomy #6
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 75795-20
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License Number State | WI
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