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General NPI Number Information
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NPI Number | 1508710021
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Entity Type | Individual
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Provider Name | ZACHARY BLAKE WEINSTEIN C.PED
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Gender | Male
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 3730 N JOSEY LN STE 104
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City | CARROLLTON
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State | TX
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Zip | 75007-2487
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Country | US
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Telephone | 214-210-2911
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Fax | 214-210-2209
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Provider Business Mailing Address
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Address Line | 5310 KELLER SPRINGS RD APT 225
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City | DALLAS
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State | TX
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Zip | 75248-2726
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Country | US
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Telephone | 214-794-4744
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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 | 224L00000X
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Taxonomy Name | Pedorthist
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License Number | 4968
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License Number State | TX
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