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General NPI Number Information
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NPI Number | 1598332330
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Entity Type | Individual
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Provider Name | ZACHARY ZYNTRICK JONES PTA
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Gender | Male
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 06/09/2021
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Provider Practice Location Address
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Address Line | 15109 HEATHROW FOREST PKWY STE 130
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City | HOUSTON
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State | TX
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Zip | 77032-3917
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Country | US
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Telephone | 281-801-4650
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Fax |
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Provider Business Mailing Address
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Address Line | 2033 S GESSNER RD APT 4301
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City | HOUSTON
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State | TX
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Zip | 77063-1175
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2159595
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License Number State | TX
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