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General NPI Number Information
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NPI Number | 1598787798
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Entity Type | Individual
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Provider Name | STANLEY S. ZIMMELMAN D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3640 YACHT CLUB DR # 1109
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City | AVENTURA
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State | FL
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Zip | 33180-3558
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Country | US
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Telephone | 305-932-1103
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Fax | 305-932-1104
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Provider Business Mailing Address
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Address Line | 3640 YACHT CLUB DR # 1109
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City | AVENTURA
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State | FL
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Zip | 33180-3558
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Country | US
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Telephone | 305-932-1103
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Fax | 305-932-1104
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | OS6377
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | OS8012L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | DO25896
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 012031
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License Number State | OH
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