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General NPI Number Information
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NPI Number | 1700379575
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Entity Type | Individual
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Provider Name | MATTHEW ZERAH PT, DPT, ATC
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Gender | Male
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Dates
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Enumeration Date | 06/07/2018
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 1925 CORDOVA RD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2157
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Country | US
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Telephone | 954-909-0899
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Fax |
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Provider Business Mailing Address
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Address Line | 21756 STATE ROAD 54 STE 102
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City | LUTZ
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State | FL
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Zip | 33549-2905
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT33608
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License Number State | FL
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