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General NPI Number Information
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NPI Number | 1710770995
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Entity Type | Individual
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Provider Name | ZACHARY ALBA MARANA DMD
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Gender | Male
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 501 E MARTINTOWN RD
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841-5303
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Country | US
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Telephone | 803-279-4343
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Fax |
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Provider Business Mailing Address
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Address Line | 431 ARDEN WAY
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City | EVANS
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State | GA
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Zip | 30809-7092
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Country | US
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Telephone | 706-627-0350
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 123890
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 11184
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License Number State | SC
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