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General NPI Number Information
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NPI Number | 1730662313
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Entity Type | Organization
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Legal Business Name | SWIMBIKUSRUN
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Dates
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Enumeration Date | 09/10/2018
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Last Update Date | 09/10/2018
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Provider Practice Location Address
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Address Line | 1529 NE 16TH AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-4850
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Country | US
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Telephone | 402-218-6966
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Fax |
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Provider Business Mailing Address
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Address Line | 1529 NE 16TH AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-4850
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Country | US
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Telephone | 402-218-6966
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SANDY ZIYA
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Credential |
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Telephone | 402-218-6966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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