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General NPI Number Information
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NPI Number | 1538499348
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Entity Type | Organization
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Legal Business Name | ZTECH DIAGNOSTICS, LLC
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Dates
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Enumeration Date | 12/30/2009
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Last Update Date | 12/30/2009
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Provider Practice Location Address
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Address Line | 561 NW 188TH ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-3942
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Country | US
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Telephone | 305-627-3210
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Fax | 305-652-7339
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Provider Business Mailing Address
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Address Line | 561 NW 188TH ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-3942
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Country | US
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Telephone | 305-627-3210
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Fax | 305-652-7339
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MRS. ZONDRA YNETTE AIMES
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Credential |
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Telephone | 305-627-3210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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