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General NPI Number Information
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NPI Number | 1871591503
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Entity Type | Individual
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Provider Name | ALEXANDER ZILBERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 340 S WILLARD ST
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4126
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Country | US
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Telephone | 928-639-6025
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Fax | 928-649-7921
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Provider Business Mailing Address
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Address Line | PO BOX 8
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86405-0008
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Country | US
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Telephone | 928-854-6500
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Fax | 928-854-6206
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 31136
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 31136
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License Number State | AZ
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