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General NPI Number Information
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NPI Number | 1790608925
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Entity Type | Individual
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Provider Name | ZACHARY WURM
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Gender | Male
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 201 TERI DEE UNIT C
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City | CADILLAC
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State | MI
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Zip | 49601-8318
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Country | US
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Telephone | 800-645-4737
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Fax |
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Provider Business Mailing Address
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Address Line | 211 S HUGHSTON ST APT D
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City | MC BAIN
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State | MI
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Zip | 49657-9569
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Country | US
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Telephone | 419-280-4933
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Fax |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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