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General NPI Number Information
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NPI Number | 1497631485
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Entity Type | Individual
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Provider Name | MARK ZAKHARIYA
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Gender | Male
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 1901 NE 162ND AVE STE D112
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City | VANCOUVER
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State | WA
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Zip | 98684-3008
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Country | US
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Telephone | 360-803-3546
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Fax |
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Provider Business Mailing Address
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Address Line | 3415 NE 157TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98682-7346
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Country | US
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Telephone | 971-221-7769
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DENT.DE.70017494
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License Number State | WA
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