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General NPI Number Information
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NPI Number | 1497774855
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Entity Type | Individual
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Provider Name | JUAN LUIS ZAMORA MD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 7 MEDICAL PKWY SUITE 100
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City | DALLAS
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State | TX
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Zip | 75234-7829
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Country | US
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Telephone | 972-701-8181
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Fax | 972-701-8182
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Provider Business Mailing Address
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Address Line | 3851 CANOT LN
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City | ADDISON
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State | TX
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Zip | 75001-7904
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Country | US
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Telephone | 214-631-7203
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | J3024
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License Number State | TX
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