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General NPI Number Information
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NPI Number | 1457293409
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Entity Type | Individual
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Provider Name | JACOB ZUZOLA
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Gender | Male
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 1334 BAINBRIDGE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19147-1810
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Country | US
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Telephone | 215-625-7902
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Fax |
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Provider Business Mailing Address
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Address Line | 211 PREDMORE AVE
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City | LANOKA HARBOR
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State | NJ
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Zip | 08734-2433
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Country | US
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Telephone |
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number |
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License Number State |
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