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General NPI Number Information
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NPI Number | 1902038656
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Entity Type | Individual
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Provider Name | JOSEPH DANIEL ZIMMERMAN DDS
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Gender | Male
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | 207 E EMORY RD STE 203
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City | POWELL
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State | TN
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Zip | 37849-4048
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Country | US
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Telephone | 865-512-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 207 E EMORY RD STE 203
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City | POWELL
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State | TN
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Zip | 37849-4048
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Country | US
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Telephone | 865-512-9600
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 9601
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5969
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE60159812
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 9601
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License Number State | TN
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