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General NPI Number Information
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NPI Number | 1568844975
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Entity Type | Individual
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Provider Name | SPENCER ZIMMERMAN DC, NP-C
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Gender | Male
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 2404 CREEL LN STE 101
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-4606
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Country | US
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Telephone | 813-838-4005
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Fax |
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Provider Business Mailing Address
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Address Line | 32532 SAPNA CHIME DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-5393
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Country | US
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Telephone |
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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 | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number | 59038
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIA-1864
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | 15222
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 59038
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License Number State | ID
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11033905
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License Number State | FL
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