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General NPI Number Information
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NPI Number | 1326719956
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Entity Type | Individual
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Provider Name | ZULIMA CERDA PTA
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Gender | Female
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1337 S. GILBERT RD UNIT 105
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City | MESA
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State | AZ
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Zip | 85204
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Country | US
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Telephone | 480-530-0890
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Fax |
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Provider Business Mailing Address
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Address Line | 5741 S WILSON ST
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City | TEMPE
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State | AZ
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Zip | 85283
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Country | US
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Telephone | 773-503-3076
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 160.009166
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 015024
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License Number State | AZ
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