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General NPI Number Information
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NPI Number | 1528144904
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Entity Type | Individual
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Provider Name | HAYDEN JOHN ZACCAGNI M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/28/2006
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 5323 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75390-1711
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Country | US
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Telephone | 214-645-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 703 VOLKER HALL
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City | BIRMINGHAM
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State | AL
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Zip | 35294-0001
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Country | US
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Telephone | 205-975-3123
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA16661
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 31734
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD0000045092
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | MD.31734
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License Number State | AL
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Taxonomy #5
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | U9112
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License Number State | TX
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