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General NPI Number Information
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NPI Number | 1538525118
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Entity Type | Individual
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Provider Name | BRANDON MICHAEL ZIMMER D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 07/20/2023
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Provider Practice Location Address
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Address Line | 2001 GILBERT AVE
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City | CINCINNATI
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State | OH
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Zip | 45202
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Country | US
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Telephone | 513-996-0030
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Fax | 513-996-0037
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Provider Business Mailing Address
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Address Line | 644 EDEN PARK DR
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City | CINCINNATI
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State | OH
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Zip | 45202-6031
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Country | US
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Telephone | 513-996-0030
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Fax | 513-996-0037
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4591
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License Number State | OH
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