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General NPI Number Information
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NPI Number | 1912897034
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Entity Type | Organization
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Legal Business Name | DELMARVA SPINE AND PAIN LLC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 10231 OLD OCEAN CITY BLVD STE 208
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City | BERLIN
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State | MD
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Zip | 21811-3568
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Country | US
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Telephone | 718-208-4780
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Fax |
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Provider Business Mailing Address
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Address Line | 10231 OLD OCEAN CITY BLVD STE 208
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City | BERLIN
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State | MD
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Zip | 21811-3568
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Country | US
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Telephone | 718-208-4780
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WADID ZAKY
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Credential | MD
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Telephone | 240-616-6006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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