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General NPI Number Information
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NPI Number | 1396822730
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Entity Type | Individual
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Provider Name | PAUL MATTHEW ZEROVEC D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 10/13/2008
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Provider Practice Location Address
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Address Line | 1442 N FARWELL AVE STE 605
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City | MILWAUKEE
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State | WI
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Zip | 53202-2913
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Country | US
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Telephone | 414-271-0670
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Fax | 414-271-2396
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Provider Business Mailing Address
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Address Line | 1839A E EUCLID AVE
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City | MILWAUKEE
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State | WI
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Zip | 53207-2943
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Country | US
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Telephone | 414-489-0872
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Fax | 414-271-2396
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 802025
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License Number State | WI
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