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General NPI Number Information
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NPI Number | 1497059182
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Entity Type | Organization
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Legal Business Name | GMZ VENTURES
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 304 SOUTH SEMINOLE AVENUE
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City | MINNEOLA
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State | FL
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Zip | 34755
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Country | US
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Telephone | 352-394-6619
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Fax |
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Provider Business Mailing Address
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Address Line | 5626 OXFORD MOOR BLVD
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City | WINDERMERE
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State | FL
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Zip | 34786-7009
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Country | US
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Telephone | 407-654-5731
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GERALD ZANANSKI
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Credential |
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Telephone | 407-654-5731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL5456
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License Number State | FL
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