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General NPI Number Information
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NPI Number | 1871096297
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Entity Type | Individual
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Provider Name | ZACHARY E NAHMIAS MS, LAT, ATC, CMTPT
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Gender | Male
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 4501 N CHARLES ST
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City | BALTIMORE
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State | MD
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Zip | 21210-2601
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Country | US
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Telephone | 410-617-2413
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Fax |
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Provider Business Mailing Address
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Address Line | 14005 WESTVIEW FOREST DRIVE
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City | BOWIE
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State | MD
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Zip | 20720
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Country | US
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Telephone | 301-957-4860
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | A0001369
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License Number State | MD
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