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General NPI Number Information
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NPI Number | 1841319688
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Entity Type | Individual
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Provider Name | DONALD JOHN ZAZZI RPH
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Gender | Male
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1657 E STONE DR SUITE A
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City | KINGSPORT
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State | TN
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Zip | 37660-4669
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Country | US
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Telephone | 423-247-2126
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Fax | 423-247-2138
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Provider Business Mailing Address
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Address Line | 1776 BUCKINGHAM CT
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City | KINGSPORT
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State | TN
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Zip | 37660-5905
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Country | US
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Telephone | 423-288-3556
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Fax | 423-247-2138
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 4398
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License Number State | TN
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