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General NPI Number Information
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NPI Number | 1346772837
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Entity Type | Individual
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Provider Name | ZACHARY ANDERSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | MONROE CARELL JR CHILDRENS HOSPITAL AT 2200 CHILDREN'S WAY 8161 DOT
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City | NASHVILLE
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State | TN
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Zip | 37232-9760
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Country | US
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Telephone | 615-936-2555
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Fax | 615-936-3601
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Provider Business Mailing Address
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Address Line | 1870 CAROLLEE LN
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City | WINTER PARK
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State | FL
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Zip | 32789-5214
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Country | US
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Telephone | 321-279-7012
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME163038
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | ME163038
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License Number State | FL
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