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General NPI Number Information
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NPI Number | 1326891656
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Entity Type | Individual
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Provider Name | LAZARO ALEXANDER YERO ZAMORA APRN
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Gender | Male
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Dates
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Enumeration Date | 04/08/2024
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 4055 VALLEY VIEW LN STE 700
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City | DALLAS
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State | TX
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Zip | 75244-5045
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Country | US
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Telephone | 855-984-5121
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 OLD BLUEGRASS AVE
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City | LOUISVILLE
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State | KY
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Zip | 40215-1168
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Country | US
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Telephone | 502-361-2301
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Fax |
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 1167142
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4029417
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 790476
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License Number State | NY
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