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General NPI Number Information
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NPI Number | 1366710923
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Entity Type | Organization
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Legal Business Name | ZENERGY PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 12/09/2011
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Last Update Date | 12/09/2011
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Provider Practice Location Address
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Address Line | 910 CAMINO DEL MAR SUITE G
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City | DEL MAR
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State | CA
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Zip | 92014-2800
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Country | US
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Telephone | 858-792-1124
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Fax | 858-792-1115
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Provider Business Mailing Address
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Address Line | PO BOX 56
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City | DEL MAR
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State | CA
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Zip | 92014-0056
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Country | US
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Telephone | 858-792-1124
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Fax | 858-792-1115
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. BRENT CESARE
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Credential | DPT
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Telephone | 858-792-1124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 36824
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License Number State | CA
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