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General NPI Number Information
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NPI Number | 1609374941
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Entity Type | Individual
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Provider Name | ZACHARY D LOTT MSN, ARNP, NP-BC
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Gender | Male
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 26732 CROWN VALLEY PKWY STE 371
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6306
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Country | US
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Telephone | 800-880-1895
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Fax | 949-844-5844
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Provider Business Mailing Address
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Address Line | 26732 CROWN VALLEY PKWY STE 371
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6306
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Country | US
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Telephone | 800-880-1895
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Fax | 949-844-5844
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95008486
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License Number State | CA
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