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General NPI Number Information
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NPI Number | 1336745066
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Entity Type | Organization
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Legal Business Name | ZUKO
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 38 LAKESHORE DR
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City | WESTWOOD
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State | MA
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Zip | 02090-2813
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Country | US
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Telephone | 919-423-0461
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Fax |
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Provider Business Mailing Address
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Address Line | 38 LAKESHORE DR
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City | WESTWOOD
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State | MA
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Zip | 02090-2813
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Country | US
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Telephone | 919-423-0461
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Fax |
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Authorized Official
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Title or Position | FOUNDER / CEO
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Name | MR. JAMES DIAS
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Credential |
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Telephone | 919-423-0461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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