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General NPI Number Information
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NPI Number | 1942296371
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Entity Type | Organization
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Legal Business Name | JORGE O ZAPATA MD INC PS
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 04/12/2011
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Provider Practice Location Address
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Address Line | 9750 LEVIN RD NW
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City | SILVERDALE
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State | WA
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Zip | 98383-8399
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Country | US
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Telephone | 360-307-7202
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Fax | 360-698-6600
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Provider Business Mailing Address
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Address Line | 9750 LEVIN RD NW
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City | SILVERDALE
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State | WA
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Zip | 98383-8399
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Country | US
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Telephone | 360-307-7202
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Fax | 360-698-6600
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Authorized Official
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Title or Position | OWNER
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Name | DR. JORGE O ZAPATA
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Credential | M.D.
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Telephone | 360-307-7202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD00016403
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License Number State | WA
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