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General NPI Number Information
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NPI Number | 1427765049
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Entity Type | Individual
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Provider Name | ZENEFIA MIKAELA RAHIM PTA
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Gender | Female
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 1303 N TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34236-2432
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Country | US
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Telephone | 855-243-3078
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Fax |
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Provider Business Mailing Address
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Address Line | 600 TREVISO GRAND CIR UNIT 109
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City | NOKOMIS
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State | FL
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Zip | 34275-3438
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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 |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 31916
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License Number State | FL
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