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General NPI Number Information
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NPI Number | 1386086239
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Entity Type | Organization
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Legal Business Name | ZEN CARE PHYSICAL MEDICINE, INC.
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Dates
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Enumeration Date | 07/20/2013
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Last Update Date | 09/24/2013
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Provider Practice Location Address
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Address Line | 113 WATERWORKS WAY 115
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City | IRVINE
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State | CA
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Zip | 92618-3167
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Country | US
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Telephone | 949-727-1772
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Fax |
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Provider Business Mailing Address
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Address Line | 113 WATERWORKS WAY 115
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City | IRVINE
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State | CA
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Zip | 92618-3167
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CHRISTINE HA
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Credential |
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Telephone | 626-833-4329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G40805
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License Number State | CA
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