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General NPI Number Information
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NPI Number | 1558527341
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Entity Type | Individual
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Provider Name | ZACHARY POTTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 1234 HUFFMAN MILL RD
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City | BURLINGTON
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State | NC
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Zip | 27215-8700
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Country | US
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Telephone | 336-538-1234
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Fax | 336-538-2390
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Provider Business Mailing Address
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Address Line | 1234 HUFFMAN MILL RD
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City | BURLINGTON
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State | NC
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Zip | 27215-8700
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Country | US
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Telephone | 336-538-1234
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Fax | 336-538-2390
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4301092382
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2012-00700
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License Number State | NC
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