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General NPI Number Information
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NPI Number | 1467565168
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Entity Type | Individual
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Provider Name | BORIS ZAKS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 09/24/2012
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Provider Practice Location Address
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Address Line | 435 N ROXBURY DR SUITE 408
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5027
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Country | US
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Telephone | 310-552-3376
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Fax | 323-939-1357
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Provider Business Mailing Address
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Address Line | PO BOX 48349
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City | LOS ANGELES
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State | CA
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Zip | 90048
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Country | US
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Telephone | 310-552-3376
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Fax | 323-939-1357
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A70603
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License Number State | CA
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