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General NPI Number Information
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NPI Number | 1225592298
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Entity Type | Individual
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Provider Name | JOHN ZHANG
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Gender | Male
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Dates
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Enumeration Date | 01/24/2019
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 4705 US-19 ALT STE A
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City | PALM HARBOR
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State | FL
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Zip | 34683
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Country | US
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Telephone | 917-293-1268
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Fax |
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Provider Business Mailing Address
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Address Line | 8356 CAPSTONE RANCH DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-0079
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Country | US
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Telephone | 917-293-1268
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Fax |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT41752
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License Number State | FL
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