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General NPI Number Information
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NPI Number | 1114730694
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Entity Type | Individual
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Provider Name | ALEXANDRA L ZAGORSKI DC
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Gender | Female
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 1707 W REYNOLDS ST STE 102
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City | PLANT CITY
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State | FL
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Zip | 33563-4737
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Country | US
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Telephone | 813-848-0022
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Fax |
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Provider Business Mailing Address
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Address Line | 15435 TRINITY FALL WAY
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City | BRADENTON
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State | FL
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Zip | 34212-3921
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Country | US
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Telephone | 941-840-3479
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH15358
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License Number State | FL
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