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General NPI Number Information
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NPI Number | 1780940759
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Entity Type | Individual
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Provider Name | ZACHARY A KAHN D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2012
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 995 HOPMEADOW ST
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City | SIMSBURY
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State | CT
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Zip | 06070-1880
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Country | US
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Telephone | 860-408-3080
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Fax | 860-408-3081
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Provider Business Mailing Address
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Address Line | 995 HOPMEADOW ST
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City | SIMSBURY
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State | CT
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Zip | 06070-1880
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Country | US
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Telephone | 860-408-3080
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Fax | 860-408-3081
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 56064
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License Number State | CT
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