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General NPI Number Information
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NPI Number | 1679780423
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Entity Type | Organization
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Legal Business Name | BORIS ZAKS, MD INC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 240 S LA CIENEGA BLVD SUITE 400
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3324
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Country | US
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Telephone | 310-552-3376
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 48349
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City | LOS ANGELES
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State | CA
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Zip | 90048-0349
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Country | US
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Telephone | 310-552-3376
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BORIS ZAKS
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Credential | MD
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Telephone | 310-552-3376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A70603
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License Number State | CA
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