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General NPI Number Information
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NPI Number | 1871628255
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Entity Type | Organization
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Legal Business Name | ZICHERMAN & ZICHERMAN DPM PC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 01/29/2010
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Provider Practice Location Address
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Address Line | 20526 PLYMOUTH RD
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City | DETROIT
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State | MI
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Zip | 48228
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Country | US
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Telephone | 313-273-3780
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Fax |
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Provider Business Mailing Address
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Address Line | 20526 PLYMOUTH RD
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City | DETROIT
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State | MI
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Zip | 48228
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP
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Name | DR. HERMAN ZICHERMAN
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Credential | DPM
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Telephone | 313-273-3780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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