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General NPI Number Information
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NPI Number | 1790158772
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Entity Type | Individual
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Provider Name | IVONNETT ARCIA ZAMORA
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Gender | Female
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Dates
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Enumeration Date | 11/12/2015
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Last Update Date | 05/16/2016
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Provider Practice Location Address
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Address Line | 8415 SW 24TH ST SUITE 205
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City | MIAMI
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State | FL
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Zip | 33155
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Country | US
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Telephone | 305-262-6868
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Fax | 305-262-6867
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Provider Business Mailing Address
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Address Line | 8415 SW 24TH ST SUITE 205
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City | MIAMI
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State | FL
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Zip | 33155
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Country | US
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Telephone | 305-262-6868
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Fax | 305-262-6867
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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 | PTA26134
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License Number State | FL
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