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General NPI Number Information
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NPI Number | 1457591778
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Entity Type | Organization
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Legal Business Name | ZAPATA MEDICAL CENTER
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Dates
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Enumeration Date | 02/26/2009
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Last Update Date | 02/26/2009
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Provider Practice Location Address
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Address Line | 3743 W FULLERTON AVE
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City | CHICAGO
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State | IL
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Zip | 60647-2330
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Country | US
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Telephone | 773-698-7004
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Fax | 773-698-7010
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Provider Business Mailing Address
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Address Line | 7107 W BELMONT AVE STE 5
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City | CHICAGO
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State | IL
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Zip | 60634-4500
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Country | US
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Telephone | 773-622-4400
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Fax | 773-622-4407
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JUAN FERNANDO ZAPATA
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Credential | MD
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Telephone | 773-698-7004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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