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General NPI Number Information
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NPI Number | 1649711235
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Entity Type | Organization
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Legal Business Name | ZACHARIA FACAROS, DPM, LLC
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 4955 STEUBENVILLE PIKE STE 180
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City | PITTSBURGH
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State | PA
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Zip | 15205-9604
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Country | US
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Telephone | 412-838-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 4955 STEUBENVILLE PIKE STE 180
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City | PITTSBURGH
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State | PA
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Zip | 15205-9604
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Country | US
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Telephone | 412-838-2255
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ZACHARIA FACAROS
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Credential | DPM
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Telephone | 412-915-5803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | 25MD00333300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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