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General NPI Number Information
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NPI Number | 1467143859
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Entity Type | Individual
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Provider Name | ZACHARY DAVID BROOKS PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 162 NE 25TH ST STE 103
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City | MIAMI
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State | FL
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Zip | 33137-4852
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Country | US
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Telephone | 305-735-8901
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Fax |
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Provider Business Mailing Address
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Address Line | 2145 NE 164TH ST APT 640
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4291
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Country | US
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Telephone | 937-361-3975
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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 | 44672
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40200
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License Number State | FL
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