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General NPI Number Information
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NPI Number | 1790094449
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Entity Type | Individual
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Provider Name | KYLE E ZEHR PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 138 DUBLIN SQUARE RD SUITE A
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City | ASHEBORO
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State | NC
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Zip | 27203-8600
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Country | US
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Telephone | 336-626-2688
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Fax | 336-626-4100
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Provider Business Mailing Address
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Address Line | 218 FOUST ST STE C
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City | ASHEBORO
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State | NC
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Zip | 27203-5476
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Country | US
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Telephone | 336-625-2333
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Fax | 336-625-5511
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA054601
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-03710
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License Number State | NC
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