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General NPI Number Information
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NPI Number | 1326306267
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Entity Type | Individual
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Provider Name | ZACHARIAH D. PRANCKUN DO
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Gender | Male
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Dates
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Enumeration Date | 04/29/2012
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 1735 MARKET STREET SUITE A #110
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City | PHILADELPHIA
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State | PA
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Zip | 19103
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Country | US
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Telephone | 215-995-4138
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Fax | 980-734-3069
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Provider Business Mailing Address
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Address Line | PO BOX 191
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City | ROCKLAND
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State | DE
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Zip | 19732-0191
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Country | US
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Telephone | 302-651-4000
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Fax | 302-651-4945
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | H0097879
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 34.016626
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | OS017826
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 25MB11510700
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 4142
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License Number State | WV
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Taxonomy #6
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | C20012359
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License Number State | DE
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