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NPI Code Detail

MEDICARE: DR. REBECCA MARIA ZAMBRANO O.D.

MEDICARE: DR. REBECCA MARIA ZAMBRANO O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOD0000002818TN

General Provider Information

NPI Number : 1225289234
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBECCA MARIA ZAMBRANO O.D.
Provider Business Mailing Address
First Line : 140 JOE B JACKSON PKWY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37127-7228
Country : US
Telephone Number : 615-203-9165
Fax Number : 615-867-7499
Provider Business Practice Location Address
First Line : 140 JOE B JACKSON PKWY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37127-7228
Country : US
Telephone Number : 615-203-9165
Fax Number : 615-867-7499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2008
Last Update Date : 08/08/2022

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