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General NPI Number Information
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NPI Number | 1629874615
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Entity Type | Individual
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Provider Name | SANDRA ZAVALA
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Gender | Female
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 2930 PRESTON RD STE 300
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City | FRISCO
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State | TX
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Zip | 75034-9060
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Country | US
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Telephone | 214-207-3773
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Fax |
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Provider Business Mailing Address
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Address Line | 3528 RED DEER LN
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City | MELISSA
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State | TX
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Zip | 75454-3053
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Country | US
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Telephone | 214-207-3773
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 032157
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License Number State | TX
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