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General NPI Number Information
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NPI Number | 1619348026
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Entity Type | Individual
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Provider Name | MARLENE C ZINK RD, LDN
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Gender | Female
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 10/12/2015
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Provider Practice Location Address
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Address Line | 1807 S KANNER HWY
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City | STUART
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State | FL
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Zip | 34994-7204
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Country | US
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Telephone | 772-286-6260
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Fax | 772-286-6912
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Provider Business Mailing Address
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Address Line | 3010 SW SOLITAIRE PALM DR
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City | PALM CITY
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State | FL
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Zip | 34990-6302
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Country | US
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Telephone | 772-215-1222
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND 7333
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License Number State | FL
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