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General NPI Number Information
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NPI Number | 1386959278
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Entity Type | Organization
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Legal Business Name | ZIMMERMAN SCHOOLHOUSE
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 08/16/2010
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Provider Practice Location Address
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Address Line | 10168 W SAMPLE RD
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-3938
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Country | US
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Telephone | 954-753-4441
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Fax | 954-346-8139
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Provider Business Mailing Address
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Address Line | 10168 W SAMPLE RD
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-3938
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Country | US
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Telephone | 954-753-4441
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Fax | 954-346-8139
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Authorized Official
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Title or Position | FOUNDER/TREASURER
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Name | MRS. DANIELLE ZIMMERMAN
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Credential |
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Telephone | 954-415-6329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT18735
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA10415
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT12463
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License Number State | FL
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