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General NPI Number Information
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NPI Number | 1477995306
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Entity Type | Individual
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Provider Name | ZAHER K OTROCK M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2013
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Last Update Date | 01/26/2025
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-445-4619
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Fax |
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Provider Business Mailing Address
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Address Line | 2799 W GRAND BLVD
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City | DETROIT
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State | MI
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Zip | 48202-2608
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Country | US
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Telephone | 216-246-6690
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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 | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number | 35.147173
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | 35.147173
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License Number State | OH
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