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General NPI Number Information
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NPI Number | 1184419608
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Entity Type | Organization
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Legal Business Name | ZENNOVID FOUNDATION
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 14502 N DALE MABRY HWY STE 103
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City | TAMPA
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State | FL
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Zip | 33618-2076
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Country | US
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Telephone | 813-533-1999
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Fax | 813-533-7151
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Provider Business Mailing Address
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Address Line | 4850 51ST ST W APT 6104
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City | BRADENTON
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State | FL
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Zip | 34210-6616
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Country | US
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Telephone | 919-357-5027
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DENNIZ ASAD ZOLNOUN
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Credential | MD
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Telephone | 919-357-5027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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