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General NPI Number Information
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NPI Number | 1699438903
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Entity Type | Individual
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Provider Name | ZAFARULLA A MITHAVAYANI
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Gender | Male
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Dates
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Enumeration Date | 10/14/2021
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Last Update Date | 10/14/2021
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Provider Practice Location Address
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Address Line | 1801 N UNIVERSITY DR STE 209
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6078
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Country | US
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Telephone | 786-909-4567
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Fax |
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Provider Business Mailing Address
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Address Line | 1075 RIVERSIDE DR APT 407
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-7022
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Country | US
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Telephone | 786-909-4567
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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