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General NPI Number Information
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NPI Number | 1558838359
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Entity Type | Individual
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Provider Name | ZACHARY SCOTT VANBUREN DC
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Gender | Male
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Dates
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Enumeration Date | 10/30/2018
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Last Update Date | 10/30/2018
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Provider Practice Location Address
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Address Line | 6298 VETERANS PKWY
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City | COLUMBUS
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State | GA
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Zip | 31909-6258
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Country | US
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Telephone | 706-327-1600
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Fax | 706-846-2747
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Provider Business Mailing Address
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Address Line | PO BOX 307
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City | MANCHESTER
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State | GA
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Zip | 31816-0307
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Country | US
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Telephone | 706-846-2787
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Fax | 706-846-2747
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIRO10138
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License Number State | GA
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