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General NPI Number Information
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NPI Number | 1982937843
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Entity Type | Organization
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Legal Business Name | ZACHARY A. CARNOW, DDS, INC.
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Dates
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Enumeration Date | 09/10/2009
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Last Update Date | 09/10/2009
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Provider Practice Location Address
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Address Line | 5453 E BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-2207
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Country | US
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Telephone | 323-723-8249
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Fax | 323-721-9132
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Provider Business Mailing Address
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Address Line | 5453 E BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-2207
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Country | US
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Telephone | 323-723-8249
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Fax | 323-721-9132
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. ZACHARY ALLEN CARNOW
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Credential | DDS
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Telephone | 323-723-8249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 58697
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License Number State | CA
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