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General NPI Number Information
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NPI Number | 1386720498
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Entity Type | Individual
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Provider Name | JOSEPH ALLEN ZAMZOW D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 07/29/2019
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Provider Practice Location Address
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Address Line | 6030 S FLORIDA AVE STE 115
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City | LAKELAND
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State | FL
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Zip | 33813
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Country | US
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Telephone | 863-646-3388
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Fax | 863-646-3380
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Provider Business Mailing Address
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Address Line | 6030 S FLORIDA AVE STE 115
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City | LAKELAND
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State | FL
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Zip | 33813-3351
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Country | US
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Telephone | 863-646-3388
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Fax | 863-646-3380
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH8827
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License Number State | FL
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