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General NPI Number Information
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NPI Number | 1417948811
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Entity Type | Individual
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Provider Name | ANTHONY ISAAC ZARKA D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 807 CHILDRENS WAY
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8426
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Country | US
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Telephone | 902-202-8177
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Fax |
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Provider Business Mailing Address
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Address Line | 7144 MADRID AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32217-3122
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Country | US
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Telephone | 210-861-9604
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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 | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | FZ1996327
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 25MB11621200
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | C2-0024191
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License Number State | DE
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