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General NPI Number Information
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NPI Number | 1265873194
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Entity Type | Individual
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Provider Name | DR. ZACHARY DIPAOLO
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Gender | Male
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Dates
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Enumeration Date | 07/08/2013
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 1005 E CHEVES ST
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City | FLORENCE
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State | SC
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Zip | 29506-2707
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Country | US
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Telephone | 843-777-7900
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Fax | 843-777-7925
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Provider Business Mailing Address
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Address Line | PO BOX 3239
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City | FLORENCE
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State | SC
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Zip | 29502-3239
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Country | US
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Telephone | 843-777-7900
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Fax | 843-777-7925
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 57023593
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2017041099
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 82388
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 82388
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License Number State | SC
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