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General NPI Number Information
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NPI Number | 1366963209
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Entity Type | Individual
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Provider Name | KRISTEN MARIE ZANKER
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Gender | Female
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Dates
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Enumeration Date | 06/30/2017
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Last Update Date | 06/30/2017
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Provider Practice Location Address
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Address Line | 11011 SHERIDAN ST STE 209
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City | HOLLYWOOD
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State | FL
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Zip | 33026-1531
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Country | US
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Telephone | 954-431-5437
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Fax | 954-432-0202
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Provider Business Mailing Address
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Address Line | 1700 SW 10TH CT
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-3243
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Country | US
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Telephone | 727-365-3118
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA14662
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License Number State | FL
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