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General NPI Number Information
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NPI Number | 1487389888
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Entity Type | Organization
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Legal Business Name | ZANDP INVESTMENTS CORP
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 2350 MIRACLE MILE STE 370
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442-7505
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Country | US
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Telephone | 928-704-4610
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Fax |
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Provider Business Mailing Address
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Address Line | 2350 MIRACLE MILE STE 370
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442-7505
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Country | US
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Telephone | 928-704-4610
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TYLER ZAHNOW
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Credential |
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Telephone | 602-361-0418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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