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General NPI Number Information
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NPI Number | 1750512877
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Entity Type | Organization
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Legal Business Name | MARIANNE ZAKARIAN, M.D., P.C.
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 12/30/2009
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Provider Practice Location Address
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Address Line | 2536 N STOKESBERRY PL
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City | MERIDIAN
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State | ID
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Zip | 83646-1144
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Country | US
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Telephone | 208-855-0880
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Fax | 208-855-0889
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Provider Business Mailing Address
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Address Line | 2536 N STOKESBERRY PL
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City | MERIDIAN
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State | ID
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Zip | 83646-1144
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Country | US
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Telephone | 208-855-0880
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Fax | 208-855-0889
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JOANNE S HOFFMAN
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Credential |
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Telephone | 208-855-0880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | M8321
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License Number State | ID
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