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General NPI Number Information
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NPI Number | 1639568793
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Entity Type | Organization
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Legal Business Name | ZEAL REHAB, LLC
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Dates
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Enumeration Date | 01/13/2015
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 5701 VIRGINIA PKWY UNIT# 3305
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City | MCKINNEY
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State | TX
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Zip | 75071-5652
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Country | US
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Telephone | 228-596-2449
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Fax | 866-807-2926
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Provider Business Mailing Address
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Address Line | PO BOX 6096
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City | DIBERVILLE
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State | MS
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Zip | 39540-6096
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Country | US
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Telephone | 228-596-2449
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Fax | 866-807-2926
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. PRASANT HARESH DESAI
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Credential | MBA, MPH
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Telephone | 228-596-2449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | TX
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