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General NPI Number Information
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NPI Number | 1831690106
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Entity Type | Individual
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Provider Name | MICHELLE ZAMORA LAC
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Gender | Female
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 2070 MEADOWLANE AVE
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City | MELBOURNE
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State | FL
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Zip | 32904-4950
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Country | US
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Telephone | 321-467-4848
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Fax | 321-985-0329
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Provider Business Mailing Address
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Address Line | 14001 SW 105TH ST
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City | MIAMI
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State | FL
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Zip | 33186-3124
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Country | US
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Telephone | 305-308-6226
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Fax | 321-985-0329
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA57712
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP3191
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License Number State | FL
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