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General NPI Number Information
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NPI Number | 1851879068
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Entity Type | Individual
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Provider Name | ZACHARY A ANTIL LCSW
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Gender | Male
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 1493 S HAWKINS AVE
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City | AKRON
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State | OH
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Zip | 44320-3416
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Country | US
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Telephone | 330-865-5333
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Fax |
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Provider Business Mailing Address
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Address Line | 1475 W ALDER RD
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85140-7834
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Country | US
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Telephone | 937-684-2518
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34008891A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | IN
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