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General NPI Number Information
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NPI Number | 1285837096
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Entity Type | Organization
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Legal Business Name | SCOTT A ZIMMERMAN, D.P.M., LTD.
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 12/04/2011
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Provider Practice Location Address
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Address Line | 10 E 22ND ST SUITE 205
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City | LOMBARD
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State | IL
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Zip | 60148-6108
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Country | US
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Telephone | 630-953-8088
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Fax | 630-953-8094
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Provider Business Mailing Address
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Address Line | 10 E 22ND ST SUITE 205
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City | LOMBARD
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State | IL
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Zip | 60148-6108
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Country | US
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Telephone | 630-953-8088
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Fax | 630-953-8094
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT ALLEN ZIMMERMAN
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Credential | D.P.M.
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Telephone | 630-953-8088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 016-003422
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License Number State | IL
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