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General NPI Number Information
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NPI Number | 1679597520
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Entity Type | Individual
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Provider Name | DANIEL E ZAREMBA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 1000 HARRINGTON BLVD
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City | MT CLEMENTS
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State | MI
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Zip | 48043-2920
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Country | US
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Telephone | 586-493-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 255 WEST MICHIGAN AVENUE, PO BOX 1123
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City | JACKSON
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State | MI
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Zip | 49204-1123
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Country | US
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Telephone | 800-516-5135
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4301054178
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License Number State | MI
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