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General NPI Number Information
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NPI Number | 1497935449
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Entity Type | Individual
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Provider Name | DAVID R ZIMMERMAN PA
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Gender | Male
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 2780 CLEVELAND AVE SUITE 702
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City | FORT MYERS
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State | FL
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Zip | 33901-5858
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Country | US
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Telephone | 239-332-6474
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Fax | 239-334-5968
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-424-1400
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Fax | 239-424-1421
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA1567
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License Number State | FL
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