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General NPI Number Information
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NPI Number | 1861445884
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Entity Type | Individual
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Provider Name | HERMAN ZARATE D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 7610 CARROLL AVE STE 210
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City | TAKOMA PARK
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State | MD
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Zip | 20912-6312
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Country | US
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Telephone | 240-353-5023
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Fax | 240-353-5023
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Provider Business Mailing Address
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Address Line | 7610 CARROLL AVE STE 210
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City | TAKOMA PARK
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State | MD
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Zip | 20912-6312
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Country | US
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Telephone | 240-353-5023
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Fax | 301-916-9587
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 01370
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License Number State | MD
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