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General NPI Number Information
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NPI Number | 1023259389
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Entity Type | Individual
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Provider Name | DAVID N. ZIMMER L.M.T.
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Gender | Male
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Dates
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Enumeration Date | 03/17/2009
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Last Update Date | 03/17/2009
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Provider Practice Location Address
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Address Line | 455 E 14TH ST APT.8D
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City | NEW YORK
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State | NY
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Zip | 10009-2801
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Country | US
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Telephone | 917-847-6754
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Fax |
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Provider Business Mailing Address
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Address Line | 455 E 14TH ST APT.8D
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City | NEW YORK
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State | NY
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Zip | 10009-2801
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Country | US
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Telephone | 917-847-6754
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 27 021293
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License Number State | NY
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