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General NPI Number Information
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NPI Number | 1891075412
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Entity Type | Organization
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Legal Business Name | JERRY E ZAYID DPM PC
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Dates
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Enumeration Date | 08/26/2011
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Last Update Date | 07/07/2012
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Provider Practice Location Address
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Address Line | 2559 UNION LAKE RD
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City | COMMERCE TWP
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State | MI
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Zip | 48382-3555
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Country | US
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Telephone | 248-245-3392
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Fax | 248-363-8652
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Provider Business Mailing Address
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Address Line | 2559 UNION LAKE RD
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City | COMMERCE TWP
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State | MI
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Zip | 48382-3555
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Country | US
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Telephone | 248-245-3392
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Fax | 248-363-8652
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Authorized Official
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Title or Position | OWNER
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Name | DR. JERRY E ZAYID
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Credential | DPM
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Telephone | 248-245-3392
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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 | 5901001059
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License Number State | MI
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