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NPI 1598811291

NPI 1598811291 : HEIDI NANETTE ZAPKA PT ASSISTANT : PLANO, TX

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General NPI Number Information
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    NPI Number           |    1598811291
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    Entity Type          |    Individual 
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    Provider Name        |    HEIDI NANETTE ZAPKA PT ASSISTANT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/26/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    6020 W PARKER RD SUITE 200
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75093-8171
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    Country              |    US
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    Telephone            |    972-608-5127
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    Fax                  |    972-608-5060
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Provider Business Mailing Address
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    Address Line         |    2504 WINGATE LN 
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    City                 |    MCKINNEY
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    State                |    TX
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    Zip                  |    75070-2303
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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       |    2060191
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    License Number State |    TX
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