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General NPI Number Information
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NPI Number | 1568707743
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Entity Type | Individual
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Provider Name | ZORRE ZENO KIMURA PT
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Gender | Male
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 10211 WORTHINGTON LANE
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City | PROSPECT
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State | KY
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Zip | 40059
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Country | US
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Telephone | 502-641-1214
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Fax |
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Provider Business Mailing Address
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Address Line | 10211 WORTHINGTON LN
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City | PROSPECT
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State | KY
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Zip | 40059-8549
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Country | US
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Telephone | 502-641-1214
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | KY001116
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License Number State | KY
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