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General NPI Number Information
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NPI Number | 1750461364
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Entity Type | Organization
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Legal Business Name | ZERA INC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 1050 FOREST PARK BLVD
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City | FORT WORTH
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State | TX
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Zip | 76110
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Country | US
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Telephone | 325-665-0218
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Fax |
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Provider Business Mailing Address
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Address Line | 2553 CASTLE CIR
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City | FORT WORTH
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State | TX
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Zip | 76108-9705
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Country | US
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Telephone | 325-665-0218
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. MISTY CHANEY BRADY
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Credential |
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Telephone | 325-665-0218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 015194
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License Number State | TX
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