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General NPI Number Information
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NPI Number | 1124779921
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Entity Type | Individual
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Provider Name | ZOE MILLYETTE ZIEMER GARAY MASTER DEGREE
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Gender | Female
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 4731 NATHAN HALE BLVD
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City | SAINT CLOUD
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State | FL
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Zip | 34769-1831
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Country | US
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Telephone | 407-698-9815
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Fax | 407-565-8065
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Provider Business Mailing Address
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Address Line | 1810 PARADISE DR
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City | KISSIMMEE
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State | FL
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Zip | 34741-2014
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Country | US
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Telephone | 787-466-3654
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Fax | 407-565-8065
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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