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General NPI Number Information
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NPI Number | 1841893260
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Entity Type | Individual
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Provider Name | ZACHARY MORAN ND
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Gender | Male
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 06/08/2022
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Provider Practice Location Address
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Address Line | 106 ROUTE 66 E
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City | COLUMBIA
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State | CT
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Zip | 06237-1224
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Country | US
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Telephone | 860-471-1434
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Fax |
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Provider Business Mailing Address
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Address Line | 106 ROUTE 66 E
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City | COLUMBIA
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State | CT
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Zip | 06237-1224
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Country | US
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Telephone | 860-471-1434
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 0037
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License Number State | NH
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