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General NPI Number Information
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NPI Number | 1861073025
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Entity Type | Individual
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Provider Name | ZACHARY SCHOTT
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Gender | Male
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 120 PROFESSIONAL PL # 103
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City | BRIDGEPORT
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State | WV
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Zip | 26330-4599
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Country | US
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Telephone | 681-214-0101
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Fax | 304-853-5859
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Provider Business Mailing Address
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Address Line | 120 PROFESSIONAL PL # 103
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City | BRIDGEPORT
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State | WV
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Zip | 26330-4599
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Country | US
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Telephone | 681-214-0101
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Fax | 304-853-5859
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11012595
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 113687
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License Number State | WV
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