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NPI 1609170604

NPI 1609170604 : CHRISTOPHER ANTHONY ZACHARY DDS : LAGUNA NIGUEL, CA

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General NPI Number Information
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    NPI Number           |    1609170604
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER ANTHONY ZACHARY DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/05/2011
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    Last Update Date     |    01/05/2011
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Provider Practice Location Address
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    Address Line         |    23800 ALISO CREEK RD 
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    City                 |    LAGUNA NIGUEL
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    State                |    CA
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    Zip                  |    92677-3930
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    Country              |    US
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    Telephone            |    949-831-5500
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    Fax                  |    949-448-7795
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Provider Business Mailing Address
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    Address Line         |    23800 ALISO CREEK RD 
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    City                 |    LAGUNA NIGUEL
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    State                |    CA
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    Zip                  |    92677-3930
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    Country              |    US
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    Telephone            |    949-831-5500
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    Fax                  |    949-448-7795
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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        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    42023
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    License Number State |    CA
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