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General NPI Number Information
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NPI Number | 1760264683
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Entity Type | Individual
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Provider Name | CAROLINA ZARRAGA
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Gender | Female
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 8301 N CENTRAL EXPY
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City | DALLAS
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State | TX
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Zip | 75225-4409
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Country | US
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Telephone | 214-234-1035
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Fax |
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Provider Business Mailing Address
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Address Line | 201 WASHINGTON ST
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City | GARLAND
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State | TX
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Zip | 75040-7828
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2172865
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License Number State | TX
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