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General NPI Number Information
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NPI Number | 1902256027
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Entity Type | Individual
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Provider Name | ZALIKA NISBETH M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2016
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 315 COMMERCIAL DR STE C8
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City | SAVANNAH
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State | GA
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Zip | 31406-3633
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Country | US
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Telephone | 904-833-8325
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Fax | 904-585-7341
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Provider Business Mailing Address
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Address Line | 86 SAN BRISO WAY
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32092-3115
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Country | US
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Telephone | 904-833-8325
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Fax | 904-585-7341
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME135573
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME135573
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 85501
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 85501
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License Number State | GA
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