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General NPI Number Information
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NPI Number | 1700405560
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Entity Type | Individual
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Provider Name | ZACH ZEPF
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Gender | Male
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 04/13/2020
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Provider Practice Location Address
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Address Line | 7222 ARLEY PL
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City | SPRINGFIELD
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State | VA
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Zip | 22153-1516
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Country | US
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Telephone | 571-296-4477
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Fax |
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Provider Business Mailing Address
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Address Line | 4223 HUNT CLUB CIR APT 932
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City | FAIRFAX
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State | VA
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Zip | 22033-4029
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119008337
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License Number State | VA
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