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General NPI Number Information
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NPI Number | 1649278367
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Entity Type | Individual
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Provider Name | ZEHRA SALIM KAKA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 10/23/2010
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Provider Practice Location Address
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Address Line | 800 FOREST AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-2882
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Country | US
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Telephone | 740-454-5014
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Fax | 740-455-7517
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Provider Business Mailing Address
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Address Line | 1580 MUSSELMAN DR
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City | ZANESVILLE
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State | OH
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Zip | 43701-9617
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Country | US
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Telephone | 740-452-1290
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Fax | 740-452-0274
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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 | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | 35049492
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License Number State | OH
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