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General NPI Number Information
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NPI Number | 1427598937
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Entity Type | Individual
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Provider Name | HANNY K. ZAKHARI DMD
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Gender | Male
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Dates
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Enumeration Date | 03/02/2017
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Last Update Date | 03/02/2017
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Provider Practice Location Address
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Address Line | 401 5TH AVE
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City | INDIALANTIC
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State | FL
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Zip | 32903-4240
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Country | US
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Telephone | 321-727-8822
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Fax | 321-727-0074
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Provider Business Mailing Address
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Address Line | 401 5TH AVE
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City | INDIALANTIC
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State | FL
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Zip | 32903-4240
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Country | US
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Telephone | 321-727-8822
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Fax | 321-727-0074
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN12436
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License Number State | FL
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