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General NPI Number Information
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NPI Number | 1407958911
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Entity Type | Individual
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Provider Name | MICHAEL A ZINSER PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/04/2006
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 2811 TIETON DR
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City | YAKIMA
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State | WA
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Zip | 98902-3761
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Country | US
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Telephone | 509-575-8000
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Fax | 509-225-2715
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Provider Business Mailing Address
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Address Line | 701 GOLF VIEW DR
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City | MEDFORD
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State | OR
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Zip | 97504-9643
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Country | US
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Telephone | 541-494-1111
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Fax | 541-494-1099
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA10002489
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 210
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA184071
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License Number State | OR
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