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General NPI Number Information
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NPI Number | 1962390559
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Entity Type | Individual
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Provider Name | ZACHARIAH AKINNOLA
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Gender | Male
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 500 W WHITESTONE BLVD STE 101
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City | CEDAR PARK
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State | TX
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Zip | 78613-2271
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Country | US
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Telephone | 512-918-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 7402 POTTERS TRL
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City | AUSTIN
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State | TX
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Zip | 78729-7778
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Country | US
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Telephone | 512-704-3119
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1406732
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License Number State | TX
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