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NPI 1811421167

NPI 1811421167 : BRYAN ZUNIGA : WILMINGTON, DE

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General NPI Number Information
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    NPI Number           |    1811421167
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    Entity Type          |    Individual 
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    Provider Name        |    BRYAN ZUNIGA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/13/2017
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    1600 ROCKLAND RD 
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    City                 |    WILMINGTON
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    State                |    DE
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    Zip                  |    19803-3607
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    Country              |    US
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    Telephone            |    302-651-4200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 191 
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    City                 |    ROCKLAND
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    State                |    DE
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    Zip                  |    19732-0191
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    Country              |    US
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    Telephone            |    302-651-6718
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    Fax                  |    302-651-4945
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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        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    34576
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    License Number State |    WV
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Taxonomy #2
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    2024049299
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    License Number State |    MO
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Taxonomy #3
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    C1-0026039
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    License Number State |    DE
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Taxonomy #4
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    75358
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    License Number State |    TN
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Taxonomy #5
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    ME160884
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    License Number State |    FL
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Taxonomy #6
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    036.157431
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    License Number State |    IL
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