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General NPI Number Information
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NPI Number | 1447569660
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Entity Type | Organization
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Legal Business Name | THE ZOHAR GROUP CORP
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Dates
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Enumeration Date | 10/05/2010
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Last Update Date | 10/05/2010
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Provider Practice Location Address
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Address Line | 7221 SW 24TH ST SUITE 210
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City | MIAMI
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State | FL
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Zip | 33155-1436
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Country | US
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Telephone | 305-456-5830
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Fax | 305-456-5834
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Provider Business Mailing Address
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Address Line | 7221 SW 24TH ST SUITE 210
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City | MIAMI
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State | FL
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Zip | 33155-1436
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Country | US
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Telephone | 305-456-5830
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Fax | 305-456-5834
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Authorized Official
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Title or Position | OWNER
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Name | MRS. IRELA YESSENIA BUCARDO
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Credential | MA
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Telephone | 305-456-5830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 13-64-1273759
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License Number State | FL
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