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General NPI Number Information
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NPI Number | 1265965750
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Entity Type | Individual
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Provider Name | ZACHARY J CRAIG MD
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Gender | Male
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | FORT BELVOIR COMMUNITY HOSPITAL 9300 DEWITT LOOP
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City | FORT BELVOIR
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State | VA
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Zip | 22060
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Country | US
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Telephone | 571-231-3224
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Fax |
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Provider Business Mailing Address
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Address Line | FORT BELVOIR COMMUNITY HOSPITAL 9300 DEWITT LOOP
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City | FORT BELVOIR
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State | VA
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Zip | 22060-0001
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Country | US
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Telephone | 571-231-3224
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 036172711
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 63795
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License Number State | VA
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