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General NPI Number Information
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NPI Number | 1295834091
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Entity Type | Organization
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Legal Business Name | DANIEL C ZOVICH MD INC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 10/18/2022
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Provider Practice Location Address
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Address Line | 1551 BISHOP ST STE 450
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4663
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Country | US
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Telephone | 805-476-6410
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Fax | 805-476-6320
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Provider Business Mailing Address
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Address Line | PO BOX 1187
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93406-1187
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Country | US
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Telephone | 805-476-6410
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Fax | 805-476-6320
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL C ZOVICH
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Credential | MD
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Telephone | 805-476-6410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A78252
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License Number State |
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