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General NPI Number Information
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NPI Number | 1740349778
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Entity Type | Individual
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Provider Name | TOBY FRANK ZACHIAN MD
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Gender | Female
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | TWO BALA PLAZA ST IL 17
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City | BALA CYNWYD
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State | PA
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Zip | 19004
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Country | US
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Telephone | 610-667-6277
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Fax | 610-667-9755
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Provider Business Mailing Address
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Address Line | TWO BALA PLAZA ST IL 17
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City | BALA CYNWYD
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State | PA
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Zip | 19004
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Country | US
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Telephone | 610-667-6277
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Fax | 610-667-9755
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD055050L
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License Number State | PA
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