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General NPI Number Information
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NPI Number | 1952528721
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Entity Type | Organization
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Legal Business Name | JEFFREY ZACHER MD PC
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 03/17/2012
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Provider Practice Location Address
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Address Line | 4232 E CACTUS RD SUITE 208
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City | PHOENIX
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State | AZ
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Zip | 85032-7602
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Country | US
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Telephone | 602-448-4337
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Fax | 602-544-3017
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Provider Business Mailing Address
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Address Line | PO BOX 22177
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City | PHOENIX
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State | AZ
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Zip | 85028-0177
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Country | US
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Telephone | 602-448-4337
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Fax | 602-544-3017
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY J. ZACHER
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Credential | MD
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Telephone | 602-448-4337
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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 | 30895
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License Number State | AZ
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