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General NPI Number Information
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NPI Number | 1760472427
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Entity Type | Individual
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Provider Name | LISA LYNN ZACHER MD
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Gender | Female
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Dates
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Enumeration Date | 10/25/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | BAMC CREDENTIALS: MCHE-QD 3851 ROGER BROOKE DRIVE
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City | FT SAM HOUSTON
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State | TX
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Zip | 78234-6200
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Country | US
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Telephone | 210-916-1404
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Fax | 210-916-0700
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Provider Business Mailing Address
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Address Line | 14902 MEDUSA
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City | SELMA
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State | TX
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Zip | 78154-3407
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Country | US
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Telephone | 210-658-4151
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 3585
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License Number State | SD
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