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General NPI Number Information
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NPI Number | 1558345777
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Entity Type | Individual
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Provider Name | RONALD JAY ZAGORIA MD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 1364 CLIFTON RD NE # D112
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City | ATLANTA
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State | GA
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Zip | 30322-2204
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Country | US
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Telephone | 404-778-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 1364 CLIFTON RD NE # D112
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City | ATLANTA
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State | GA
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Zip | 30322-1059
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Country | US
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Telephone | 404-778-3800
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | G89386
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 28391
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 28391
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 90728
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License Number State | GA
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