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General NPI Number Information
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NPI Number | 1265672414
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Entity Type | Individual
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Provider Name | MIKE ZAFF OTR, PT
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Gender | Male
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Dates
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Enumeration Date | 03/01/2009
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Last Update Date | 03/02/2014
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Provider Practice Location Address
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Address Line | 11520 N CENTRAL EXPY SUITE 150
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City | DALLAS
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State | TX
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Zip | 75243-6605
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Country | US
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Telephone | 214-680-3669
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Fax |
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Provider Business Mailing Address
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Address Line | 11520 N CENTRAL EXPY SUITE 150
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City | DALLAS
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State | TX
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Zip | 75243-6605
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Country | US
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Telephone | 214-680-3669
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1172558
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 111414
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License Number State | TX
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