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General NPI Number Information
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NPI Number | 1780063693
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Entity Type | Organization
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Legal Business Name | DR MICHELLE ZIELECKI DC PA
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 823 NE 5TH ST
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-4441
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Country | US
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Telephone | 352-546-7001
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Fax | 352-546-7002
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Provider Business Mailing Address
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Address Line | PO BOX 507
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City | BELLEVIEW
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State | FL
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Zip | 34421-0507
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Country | US
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Telephone | 352-546-7001
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Fax | 352-546-7002
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHELLE ZIELECKI
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Credential | DC
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Telephone | 352-205-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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