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General NPI Number Information
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NPI Number | 1568441301
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Entity Type | Individual
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Provider Name | ROBERT DICKSON ZUCKER DPM
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Gender | Male
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7209 BUCKLEY RD SUITE 1S
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City | LIVERPOOL
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State | NY
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Zip | 13088-3807
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Country | US
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Telephone | 313-452-2800
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Fax | 315-452-2801
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Provider Business Mailing Address
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Address Line | 7209 BUCKLEY RD SUITE 1S
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City | LIVERPOOL
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State | NY
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Zip | 13088-3807
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Country | US
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Telephone | 313-452-2800
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Fax | 315-452-2801
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N002348
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License Number State | NY
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