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General NPI Number Information
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NPI Number | 1558143487
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Entity Type | Organization
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Legal Business Name | ZACHARY SCHWAB, MD
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 467B MAGNOLIA AVE
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City | LARKSPUR
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State | CA
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Zip | 94939-2034
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Country | US
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Telephone | 415-909-3109
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Fax | 415-907-6219
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Provider Business Mailing Address
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Address Line | 467B MAGNOLIA AVE
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City | LARKSPUR
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State | CA
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Zip | 94939-2034
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Country | US
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Telephone | 415-909-3109
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Fax | 415-907-6219
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Authorized Official
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Title or Position | CEO
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Name | DR. ZACHARY SCHWAB
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Credential | MD
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Telephone | 415-909-3109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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