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General NPI Number Information
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NPI Number | 1629531744
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Entity Type | Individual
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Provider Name | ZACHARY VINCENT BRAIG MD
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Gender | Male
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 5716 CLEVELAND ST STE 200
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-1784
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Country | US
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Telephone | 757-490-4802
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Fax |
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Provider Business Mailing Address
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Address Line | 1215 LEE ST BOX 801016
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22908-0816
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Country | US
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Telephone | 434-924-2663
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Fax | 434-244-4454
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 0101286457
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 30235
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 67713
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License Number State | MN
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