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General NPI Number Information
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NPI Number | 1447847405
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Entity Type | Individual
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Provider Name | ZACHARY ZENN
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Gender | Male
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Dates
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Enumeration Date | 12/23/2020
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 6690 NOLENSVILLE RD
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City | BRENTWOOD
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State | TN
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Zip | 37027-8803
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Country | US
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Telephone | 615-941-7643
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Fax |
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Provider Business Mailing Address
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Address Line | 400 CENTERVIEW DR UNIT 402
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City | BRENTWOOD
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State | TN
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Zip | 37027-5491
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Country | US
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Telephone | 865-255-7906
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHA-PHA-LIC-70904
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License Number State | MT
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