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General NPI Number Information
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NPI Number | 1588724348
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Entity Type | Individual
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Provider Name | ANNE ZAJICEK M.D., PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 6100 EXECUTIVE BLVD SUITE 4A01 MSC 7510
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City | BETHESDA
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State | MD
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Zip | 20892-0001
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Country | US
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Telephone | 301-435-6865
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Fax | 301-480-2897
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Provider Business Mailing Address
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Address Line | 6100 EXECUTIVE BLVD SUITE 4A01 MSC 7510
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City | BETHESDA
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State | MD
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Zip | 20892-7510
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Country | US
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Telephone | 301-435-6865
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Fax | 301-480-2897
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A72792
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License Number State | CA
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