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General NPI Number Information
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NPI Number | 1396957627
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Entity Type | Individual
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Provider Name | ZHAN KADYROV PT
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Gender | Male
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 704 STATE RD. 434 SUITE F
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City | LONGWOOD
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State | FL
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Zip | 32750
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Country | US
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Telephone | 407-831-6801
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Fax |
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Provider Business Mailing Address
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Address Line | 145 TENNIS CT
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-3200
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Country | US
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Telephone | 407-924-3730
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT22344
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License Number State | FL
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