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General NPI Number Information
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NPI Number | 1770884504
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Entity Type | Organization
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Legal Business Name | ZAGGER FAMILY PRACTICE
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Dates
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Enumeration Date | 11/10/2010
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Last Update Date | 11/08/2013
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Provider Practice Location Address
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Address Line | 1022 N MAIN STREET EXT
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City | BUTLER
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State | PA
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Zip | 16001-1956
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Country | US
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Telephone | 724-282-3248
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Fax | 724-282-3219
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Provider Business Mailing Address
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Address Line | 1022 N MAIN STREET EXT
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City | BUTLER
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State | PA
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Zip | 16001-1956
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Country | US
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Telephone | 724-282-3248
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Fax | 724-282-3219
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE ZAGGER
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Credential | MD
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Telephone | 724-282-3248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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