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General NPI Number Information
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NPI Number | 1962965699
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Entity Type | Individual
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Provider Name | ZACHARY GILBERT MD
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Gender | Male
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 8333 NAAB RD STE 420
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1992
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Country | US
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Telephone | 317-338-6666
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 684
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City | NACHES
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State | WA
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Zip | 98937-0684
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Country | US
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Telephone | 509-388-4914
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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 | 35.152042
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01096130A
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License Number State | IN
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