Basic Information
Provider Information
NPI: 1447463518
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZEDEK
FirstName: DANIEL
MiddleName: C
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 143 W FRANKLIN ST STE 600
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275162539
CountryCode: US
TelephoneNumber: 9199664131
FaxNumber:  
Practice Location
Address1: 414 MARY ELLEN JONES BUILDING
Address2: UNC CB# 7287
City: CHAPEL HILL
State: NC
PostalCode: 275990001
CountryCode: US
TelephoneNumber: 9198432482
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/07/2007
LastUpdateDate: 03/11/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZD0900X2006-01407NCY Allopathic & Osteopathic PhysiciansPathologyDermatopathology
207ZD0900XA103772CAN Allopathic & Osteopathic PhysiciansPathologyDermatopathology

No ID Information.


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