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General NPI Number Information
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NPI Number | 1437849429
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Entity Type | Individual
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Provider Name | ADRIAN ZITZMANN
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Gender | Male
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 3015 HWAY 95 STE 110
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442-4334
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Country | US
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Telephone | 928-758-8885
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Fax |
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Provider Business Mailing Address
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Address Line | 4100 S NICHOLAS DR
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City | FORT MOHAVE
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State | AZ
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Zip | 86426-6427
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Country | US
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Telephone | 702-769-3623
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 274764
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License Number State | AZ
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