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NPI Code Detail

MEDICARE: ZACHARY THOMAS BURNS

MEDICARE: ZACHARY THOMAS BURNS
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
1101YP2500XProfessional CounselorPC015077PA

General Provider Information

NPI Number : 1932807872
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY THOMAS BURNS
Provider Business Mailing Address
First Line : 637 HOLLOW RD
Second Line :
City : ENON VALLEY
State : PA
Zip : 16120-1813
Country : US
Telephone Number : 724-630-5362
Fax Number :
Provider Business Practice Location Address
First Line : 9855 RINAMAN RD
Second Line :
City : WEXFORD
State : PA
Zip : 15090-9226
Country : US
Telephone Number : 724-799-8558
Fax Number : 412-430-3383
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2023
Last Update Date : 02/20/2023

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Directions to “ ZACHARY THOMAS BURNS ” Practice Location

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