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General NPI Number Information
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NPI Number | 1316979032
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Entity Type | Individual
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Provider Name | GARY J ZAID M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 12/26/2021
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Provider Practice Location Address
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Address Line | 6308 8TH AVE
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City | KENOSHA
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State | WI
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Zip | 53143-5031
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Country | US
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Telephone | 262-656-2367
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Fax | 262-656-2366
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Provider Business Mailing Address
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Address Line | 111 E WISCONSIN AVE
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City | MILWAUKEE
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State | WI
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Zip | 53202-4815
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Country | US
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Telephone | 414-290-6700
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Fax | 414-290-6755
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036-070701
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G50513
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 27518-020
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License Number State | WI
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