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General NPI Number Information
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NPI Number | 1467146795
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Entity Type | Individual
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Provider Name | ZACH WALTERS HIS
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Gender | Male
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Dates
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Enumeration Date | 06/08/2023
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 6809 W NORTHWEST HWY
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City | DALLAS
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State | TX
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Zip | 75225-4202
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Country | US
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Telephone | 214-691-5466
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Fax | 214-691-7250
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Provider Business Mailing Address
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Address Line | 750 N COMMONS DR STE 200
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City | AURORA
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State | IL
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Zip | 60504-8025
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Country | US
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Telephone | 630-303-5380
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Fax | 630-303-5380
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 3522
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 81196
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License Number State | TX
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