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General NPI Number Information
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NPI Number | 1003522962
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Entity Type | Organization
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Legal Business Name | ZING PERFORMANCE NA LLC
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Dates
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Enumeration Date | 01/24/2023
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 2300 MARSH POINT RD STE 302
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City | NEPTUNE BEACH
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State | FL
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Zip | 32266-1660
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Country | US
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Telephone | 833-244-9464
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 MARSH POINT RD STE 101
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City | NEPTUNE BEACH
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State | FL
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Zip | 32266-1659
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Country | US
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Telephone | 833-244-9464
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHN M MCGUIRE
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Credential |
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Telephone | 833-244-9464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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