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General NPI Number Information
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NPI Number | 1770181885
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Entity Type | Organization
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Legal Business Name | ZION MEDICAL INC.
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Dates
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Enumeration Date | 10/12/2020
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Last Update Date | 10/12/2020
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Provider Practice Location Address
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Address Line | 1020 MASON AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-4612
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Country | US
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Telephone | 386-317-5149
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Fax | 386-492-7348
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Provider Business Mailing Address
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Address Line | 1020 MASON AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-4612
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Country | US
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Telephone | 386-317-5149
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Fax | 386-492-7348
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Authorized Official
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Title or Position | OWNER
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Name | HARRY VASSILAKIS
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Credential | DC
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Telephone | 386-317-5149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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