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General NPI Number Information
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NPI Number | 1952968927
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Entity Type | Individual
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Provider Name | ZACHARIAH FIKRU
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Gender | Male
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Dates
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Enumeration Date | 05/24/2019
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Last Update Date | 05/24/2019
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Provider Practice Location Address
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Address Line | 237 FERNWOOD BLVD
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City | FERN PARK
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State | FL
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Zip | 32730-2116
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Country | US
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Telephone | 407-875-3700
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Fax | 407-659-0411
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Provider Business Mailing Address
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Address Line | 237 FERNWOOD BLVD
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City | FERN PARK
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State | FL
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Zip | 32730-2116
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Country | US
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Telephone | 407-875-3700
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Fax | 407-659-0411
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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