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General NPI Number Information
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NPI Number | 1609944636
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Entity Type | Individual
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Provider Name | JOHN ANDREW ZORSCH PA-C
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Gender | Male
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 235 N PEARL ST
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City | BROCKTON
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State | MA
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Zip | 02301-1794
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Country | US
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Telephone | 508-427-3034
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Fax |
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Provider Business Mailing Address
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Address Line | 200 MILL RD
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City | FAIRHAVEN
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State | MA
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Zip | 02719-5252
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Country | US
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Telephone | 508-973-2432
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Fax | 508-973-2435
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA441
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9102343
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 007122-1
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License Number State | NY
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