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General NPI Number Information
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NPI Number | 1316901010
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Entity Type | Individual
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Provider Name | BRADLEY LEONARD ZINK DO
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Gender | Male
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 408 N 4TH ST SUITE B
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City | ODESSA
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State | MO
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Zip | 64076-1646
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Country | US
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Telephone | 816-230-8777
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Fax | 816-230-8855
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Provider Business Mailing Address
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Address Line | 408 N 4TH ST SUITE B
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City | ODESSA
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State | MO
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Zip | 64076-1646
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Country | US
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Telephone | 816-230-8777
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Fax | 816-230-8855
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DOR9F95
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License Number State | MO
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