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General NPI Number Information
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NPI Number | 1518297001
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Entity Type | Individual
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Provider Name | JOHN ROBERT ZEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/05/2010
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Last Update Date | 01/05/2010
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Provider Practice Location Address
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Address Line | 601 DIAMOND VISTA DRIVE
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City | PORT ANGELES
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State | WA
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Zip | 98363
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Country | US
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Telephone | 360-417-0957
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 2043
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City | PORT ANGELES
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State | WA
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Zip | 98362
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Country | US
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Telephone |
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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 | MD00033302
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License Number State | WA
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