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General NPI Number Information
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NPI Number | 1902013238
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Entity Type | Individual
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Provider Name | CARLOS ZAVALA MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1850 POPLAR CREST CV SUITE 105
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City | MEMPHIS
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State | TN
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Zip | 38119-4877
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Country | US
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Telephone | 901-300-3232
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Fax | 901-881-1103
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Provider Business Mailing Address
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Address Line | 1850 POPLAR CREST CV SUITE 105
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City | MEMPHIS
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State | TN
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Zip | 38119-4877
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Country | US
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Telephone | 901-300-3232
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Fax | 901-881-1103
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD046284
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | E-14959
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License Number State | AR
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