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General NPI Number Information
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NPI Number | 1861147381
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Entity Type | Organization
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Legal Business Name | ZPDC LLC
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Dates
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Enumeration Date | 02/14/2022
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Last Update Date | 05/09/2022
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Provider Practice Location Address
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Address Line | 131 MAPLE ROW BLVD STE D400
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3777
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Country | US
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Telephone | 161-543-1239
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Fax |
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Provider Business Mailing Address
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Address Line | 131 MAPLE ROW BLVD STE D400
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3777
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Country | US
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Telephone | 161-543-1239
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | DR. ZACHARIAH PENWELL
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Credential | DC
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Telephone | 615-431-2397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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