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General NPI Number Information
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NPI Number | 1962038877
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Entity Type | Individual
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Provider Name | ZACHARY BAKUN MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 865 STONE ST
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City | RAHWAY
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State | NJ
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Zip | 07065-2742
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Country | US
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Telephone | 732-381-4200
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Fax | 732-499-6829
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Provider Business Mailing Address
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Address Line | 88 REGENT ST APT 1102
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City | JERSEY CITY
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State | NJ
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Zip | 07302-7612
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Country | US
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Telephone | 973-670-8674
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA11771000
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License Number State | NJ
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