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General NPI Number Information
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NPI Number | 1285588384
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Entity Type | Individual
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Provider Name | MILAN ZELICH
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Gender |
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 101 CHEROKEE PL # 107
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City | LOUDON
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State | TN
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Zip | 37774-4162
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Country | US
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Telephone | 865-408-9344
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Fax |
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Provider Business Mailing Address
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Address Line | 9158 HARLAXTON CT
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City | KNOXVILLE
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State | TN
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Zip | 37923-3713
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Country | US
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Telephone | 330-806-9869
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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 | 16915
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License Number State | TN
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