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General NPI Number Information
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NPI Number | 1952394900
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Entity Type | Individual
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Provider Name | MICHAEL JOSEPH ZIRHUT O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 01/04/2010
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Provider Practice Location Address
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Address Line | 1005 FOWLER WAY
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City | PLACERVILLE
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State | CA
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Zip | 95667-5740
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Country | US
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Telephone | 530-295-8001
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Fax | 530-295-8008
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Provider Business Mailing Address
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Address Line | 1005 FOWLER WAY
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City | PLACERVILLE
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State | CA
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Zip | 95667-5740
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Country | US
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Telephone | 530-295-8001
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Fax | 530-295-8008
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6149T
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 6149T
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | 6149T
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 6149T
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License Number State | CA
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