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Individual
ZOE CALL
Active
Individual
ZOE CALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002002A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300005083
—
IN
01
—
P01678713
RR MEDICARE
IN
Enumeration date
02/16/2016
Last updated
05/01/2018
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