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General NPI Number Information
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NPI Number | 1154653202
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Entity Type | Individual
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Provider Name | NATALIA G ZBOROVSKY D.P.T
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Gender | Female
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Dates
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Enumeration Date | 01/31/2010
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Last Update Date | 06/28/2016
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Provider Practice Location Address
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Address Line | 1630 MASON AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-4547
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Country | US
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Telephone | 386-323-5840
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Fax |
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Provider Business Mailing Address
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Address Line | 1540 CORNERSTONE BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-7143
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Country | US
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Telephone | 386-756-0884
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Fax | 386-756-0887
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 25272
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License Number State | FL
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