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General NPI Number Information
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NPI Number | 1720081920
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Entity Type | Individual
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Provider Name | GUNNAR WALFRID ZORN III M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 100 E CARROLL ST #400
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City | SALISBURY
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State | MD
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Zip | 21801-5422
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Country | US
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Telephone | 410-543-7530
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Fax |
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Provider Business Mailing Address
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Address Line | 614 EASTERN SHORE DR STE C
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City | SALISBURY
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State | MD
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Zip | 21804-5940
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Country | US
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Telephone | 443-260-2660
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Fax | 443-260-2754
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | D42913
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2081N0008X
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Taxonomy Name | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | D42913
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License Number State | MD
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