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General NPI Number Information
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NPI Number | 1497766224
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Entity Type | Individual
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Provider Name | JOHN GREGORY ZOLTANI MD
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Gender | Male
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 7502 LAKEWOOD DR W SUITE C-7
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City | LAKEWOOD
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State | WA
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Zip | 98499-8410
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Country | US
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Telephone | 253-581-8151
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Fax | 253-581-8152
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Provider Business Mailing Address
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Address Line | PO BOX 88907
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City | STEILACOOM
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State | WA
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Zip | 98388-0500
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Country | US
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Telephone | 253-581-8151
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Fax | 253-581-8152
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD00027139
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License Number State | WA
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