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General NPI Number Information
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NPI Number | 1164480075
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Entity Type | Individual
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Provider Name | PAUL ZIMMERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 05/09/2014
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Provider Practice Location Address
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Address Line | 2901 SW 149TH AVE. SUITE 400
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City | MIRAMAR
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State | FL
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Zip | 33027
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Country | US
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Telephone | 954-874-4612
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Fax | 305-594-2722
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Provider Business Mailing Address
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Address Line | 2901 SW 149TH AVE. SUITE 400
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City | MIRAMAR
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State | FL
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Zip | 33027
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Country | US
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Telephone | 954-874-4612
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Fax | 305-594-2722
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME0047137
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License Number State | FL
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