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General NPI Number Information
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NPI Number | 1649407065
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Entity Type | Individual
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Provider Name | NANCY ZOMAYA DPM
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Gender | Female
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Dates
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Enumeration Date | 06/11/2009
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Last Update Date | 06/05/2018
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Provider Practice Location Address
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Address Line | 6201 W TOUHY AVE
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City | CHICAGO
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State | IL
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Zip | 60646
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Country | US
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Telephone | 847-673-5166
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Fax |
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Provider Business Mailing Address
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Address Line | 917 CRESTFIELD AVE
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-3019
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Country | US
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Telephone | 847-912-6141
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Fax | 224-513-4394
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016.005444
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License Number State | IL
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