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General NPI Number Information
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NPI Number | 1780566653
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Entity Type | Individual
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Provider Name | FRANK LEONARD MAZZELLA II DC
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Gender | Male
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 9200 BONITA BEACH RD SE STE 203
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4278
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Country | US
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Telephone | 239-390-0607
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Fax | 239-390-0601
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Provider Business Mailing Address
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Address Line | 150 TURTLE LAKE CT APT 304
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City | NAPLES
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State | FL
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Zip | 34105-2346
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Country | US
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Telephone | 727-460-1495
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH15522
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License Number State | FL
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