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NPI 1780900894

NPI 1780900894 : DOUGLAS SCOTT ZAVOS AU.D. : SURPRISE, AZ

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General NPI Number Information
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    NPI Number           |    1780900894
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    Entity Type          |    Individual 
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    Provider Name        |    DOUGLAS SCOTT ZAVOS AU.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/14/2010
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    13967 W GRAND AVE #105
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    City                 |    SURPRISE
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    State                |    AZ
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    Zip                  |    85374-3732
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    Country              |    US
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    Telephone            |    623-266-3003
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    Fax                  |    623-572-0237
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Provider Business Mailing Address
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    Address Line         |    13967 W GRAND AVE #105
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    City                 |    SURPRISE
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    State                |    AZ
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    Zip                  |    85374-3732
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    Country              |    US
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    Telephone            |    623-266-3003
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    Fax                  |    623-572-0237
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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        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    DA1919
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    237600000X
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    Taxonomy Name        |    Audiologist-Hearing Aid Fitter
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    License Number       |    DA1919
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    License Number State |    AZ
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