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General NPI Number Information
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NPI Number | 1518038488
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Entity Type | Individual
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Provider Name | WILLIAM M ZANDER D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 1221 N HIGHLAND AVE
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City | AURORA
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State | IL
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Zip | 60506-1404
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Country | US
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Telephone | 630-554-3456
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Fax | 630-551-2970
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Provider Business Mailing Address
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Address Line | 7 WOOD DUCK LN
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City | OTTAWA
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State | IL
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Zip | 61350-9685
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Country | US
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Telephone | 815-434-1111
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Fax | 815-434-1112
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036086818
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 036-086818
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License Number State | IL
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