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General NPI Number Information
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NPI Number | 1487048518
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Entity Type | Organization
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Legal Business Name | SKILLED PHYSIATRISTS, PA
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 5004 E FOWLER AVE C-214
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City | TAMPA
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State | FL
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Zip | 33617-2181
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Country | US
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Telephone | 630-935-2438
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Fax |
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Provider Business Mailing Address
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Address Line | 5004 E FOWLER AVE C-214
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City | TAMPA
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State | FL
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Zip | 33617-2181
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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 | PRESIDENT
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Name | DR. SYED MANNAN ZAFFER
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Credential | M.D.
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Telephone | 630-935-2438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME 122061
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License Number State | FL
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