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General NPI Number Information
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NPI Number | 1548763394
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Entity Type | Organization
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Legal Business Name | ZENITH HEALTHCARE LLC
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Dates
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Enumeration Date | 03/16/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 832 SUNSET LAKE BLVD
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City | VENICE
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State | FL
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Zip | 34292-7550
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Country | US
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Telephone | 941-492-5313
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Fax |
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Provider Business Mailing Address
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Address Line | 12643 HARNEY ST
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City | VENICE
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State | FL
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Zip | 34293-2694
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Country | US
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Telephone | 618-318-5438
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Fax | 941-584-9146
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | DR. STEFANI MOTKAR
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Credential | DNP
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Telephone | 618-318-5438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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