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General NPI Number Information
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NPI Number | 1306045760
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Entity Type | Organization
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Legal Business Name | BOSHRA G ZAKHARY MD PC
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 505 RISON ST
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City | DANVILLE
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State | VA
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Zip | 24541-2458
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Country | US
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Telephone | 434-792-9110
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Fax | 434-799-6074
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Provider Business Mailing Address
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Address Line | PO BOX 1121
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City | DANVILLE
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State | VA
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Zip | 24543-1121
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Country | US
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Telephone | 434-792-9110
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Fax | 434-799-6074
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. BOSHRA GEORGE ZAKHARY
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Credential | M.D.
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Telephone | 434-792-9110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101044807
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License Number State | VA
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