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General NPI Number Information
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NPI Number | 1275266702
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Entity Type | Organization
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Legal Business Name | ZEVAH CORP
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Dates
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Enumeration Date | 07/01/2022
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 1501 TROUSDALE DR STE 115
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City | BURLINGAME
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State | CA
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Zip | 94010-4506
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Country | US
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Telephone | 801-867-2002
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Fax |
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Provider Business Mailing Address
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Address Line | 3308 GLENDORA DR
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City | SAN MATEO
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State | CA
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Zip | 94403-3705
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Country | US
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Telephone | 801-867-2002
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Fax |
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Authorized Official
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Title or Position | PARTNER PROVIDER
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Name | MR. JC CHAVEZ
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Credential | PA
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Telephone | 801-867-2002
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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 |
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License Number State |
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