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General NPI Number Information
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NPI Number | 1689367757
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Entity Type | Organization
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Legal Business Name | ZARA TRUCK LINE INC
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Dates
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Enumeration Date | 06/02/2023
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 1331 40TH ST APT 110
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City | EMERYVILLE
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State | CA
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Zip | 94608-3672
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Country | US
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Telephone | 510-292-1756
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Fax |
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Provider Business Mailing Address
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Address Line | 1331 40TH ST APT 110
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City | EMERYVILLE
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State | CA
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Zip | 94608-3672
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Country | US
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Telephone | 510-292-1756
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | KIFLOM K TESFAZION
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Credential |
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Telephone | 510-292-1756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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