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General NPI Number Information
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NPI Number | 1780713040
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Entity Type | Individual
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Provider Name | ZACHARY MARULLI SABER L.M.P.
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Gender | Male
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 09/11/2012
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Provider Practice Location Address
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Address Line | 3861 N 1ST AVE
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City | TUCSON
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State | AZ
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Zip | 85719-1301
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Country | US
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Telephone | 520-209-1755
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Fax | 520-798-2468
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Provider Business Mailing Address
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Address Line | 3861 N 1ST AVE
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City | TUCSON
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State | AZ
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Zip | 85719-1301
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Country | US
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Telephone | 520-209-1755
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Fax | 520-798-2468
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MT-13970
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License Number State | AZ
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