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General NPI Number Information
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NPI Number | 1700863768
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Entity Type | Individual
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Provider Name | RICHARD ZALER
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Gender | Male
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 36-24-7 RTE 330
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City | OKINAWA CITY
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State | OKINAWA
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Zip | 96367
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Country | JP
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Telephone | 6341266
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Fax |
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Provider Business Mailing Address
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Address Line | 36-24-7 RTE 330
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City | OKINAWA CITY
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State | OKINAWA
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Zip | 96367
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Country | JP
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW011368L
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License Number State | PA
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