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General NPI Number Information
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NPI Number | 1467914341
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Entity Type | Individual
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Provider Name | DAVID ISAAC ZIMMER MD
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Gender | Male
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 401 E CHESTNUT ST UNIT 170
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City | LOUISVILLE
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State | KY
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Zip | 40202-5701
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Country | US
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Telephone | 502-583-3687
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Fax |
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Provider Business Mailing Address
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Address Line | 529 S JACKSON ST FL 4
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City | LOUISVILLE
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State | KY
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Zip | 40202-3229
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Country | US
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Telephone | 502-583-3687
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 70616
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | TP628
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License Number State | KY
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