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General NPI Number Information
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NPI Number | 1730188830
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Entity Type | Individual
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Provider Name | DOUGLAS J. ZEMAN D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 6116 W ADDISON ST
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City | CHICAGO
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State | IL
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Zip | 60634-4115
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Country | US
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Telephone | 773-286-9282
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Fax |
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Provider Business Mailing Address
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Address Line | 6116 W ADDISON ST
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City | CHICAGO
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State | IL
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Zip | 60634-4115
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Country | US
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Telephone | 773-286-9282
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State | IL
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