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General NPI Number Information
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NPI Number | 1659991768
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Entity Type | Individual
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Provider Name | ZACHARIAH NEFF
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Gender | Male
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Dates
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Enumeration Date | 04/17/2020
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Last Update Date | 04/17/2020
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Provider Practice Location Address
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Address Line | 1451 BRONSON WAY
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City | KALAMAZOO
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State | MI
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Zip | 49009-3306
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Country | US
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Telephone | 369-382-3546
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 WATERCHASE WAY SW APT 304
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City | WYOMING
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State | MI
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Zip | 49519-5937
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Country | US
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Telephone | 810-814-5166
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Fax |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 5502005813
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License Number State | MI
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