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General NPI Number Information
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NPI Number | 1801015433
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Entity Type | Individual
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Provider Name | MARGARET S ZAJANC DMD
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 09/21/2024
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Provider Practice Location Address
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Address Line | 1000 N 8TH AVE
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City | POCATELLO
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State | ID
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Zip | 83201-5757
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Country | US
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Telephone | 208-232-3368
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Fax |
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Provider Business Mailing Address
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Address Line | 500 S 11TH AVE STE 400
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City | POCATELLO
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State | ID
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Zip | 83201-4880
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Country | US
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Telephone | 208-232-7862
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Fax | 208-232-2408
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 9670
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2021
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 34817
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9670
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License Number State | AZ
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