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General NPI Number Information
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NPI Number | 1184341083
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Entity Type | Organization
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Legal Business Name | ZEN MEDICINE IRC LLC
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Dates
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Enumeration Date | 10/21/2022
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 14445 US HIGHWAY 1
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City | SEBASTIAN
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State | FL
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Zip | 32958-3238
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Country | US
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Telephone | 772-202-2265
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Fax | 772-361-6362
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Provider Business Mailing Address
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Address Line | 14445 US HIGHWAY 1
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City | SEBASTIAN
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State | FL
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Zip | 32958-3238
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Country | US
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Telephone | 772-202-2265
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Fax | 772-361-6362
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINE A FESTA
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Credential | NP
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Telephone | 772-202-2265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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