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General NPI Number Information
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NPI Number | 1518909647
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Entity Type | Individual
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Provider Name | MICHAEL P ZIMMERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 6300 LA CALMA DR STE 200
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City | AUSTIN
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State | TX
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Zip | 78752-3825
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Country | US
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Telephone | 512-452-8533
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Fax | 512-685-0612
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Provider Business Mailing Address
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Address Line | 6300 LA CALMA DRIVE SUITE 200
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City | AUSTIN
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State | TX
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Zip | 78752
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Country | US
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Telephone | 512-452-8533
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Fax | 512-685-0612
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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 | 036-105559
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 44719-020
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01054617A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | P5765
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License Number State | TX
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