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General NPI Number Information
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NPI Number | 1538938956
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Entity Type | Individual
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Provider Name | ZACHARY KIRK BERENDES DC
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Gender | Male
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Dates
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Enumeration Date | 12/27/2023
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 2701 PARK DR STE 2AND7
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City | CLEARWATER
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State | FL
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Zip | 33763-1021
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Country | US
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Telephone | 727-906-7221
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 187
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City | TERRA CEIA
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State | FL
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Zip | 34250-0187
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Country | US
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Telephone | 727-773-5556
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Fax |
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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 | CH14843
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License Number State | FL
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