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General NPI Number Information
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NPI Number | 1609029263
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Entity Type | Individual
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Provider Name | LAUREL M ZILCH P.A.-C, M.P.H
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Gender | Female
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 690 MEADOWS RD
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City | BOCA RATON
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State | FL
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Zip | 33486-2344
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Country | US
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Telephone | 561-955-4879
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Fax |
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Provider Business Mailing Address
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Address Line | 120 OCEAN PINES TER
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City | JUPITER
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State | FL
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Zip | 33477-9665
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Country | US
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Telephone | 561-745-9780
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA3634
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License Number State | FL
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