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General NPI Number Information
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NPI Number | 1699513473
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Entity Type | Individual
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Provider Name | DANIEL VON ZANGENBERG
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Gender | Male
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Dates
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Enumeration Date | 07/17/2024
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 4532 US HIGHWAY 19
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4950
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Country | US
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Telephone | 877-823-4283
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Fax |
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Provider Business Mailing Address
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Address Line | 11945 HUDSON RIDGE DR APT 305
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City | PORT RICHEY
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State | FL
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Zip | 34668-1970
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Country | US
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Telephone | 727-810-0905
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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