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General NPI Number Information
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NPI Number | 1841853207
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Entity Type | Individual
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Provider Name | ZYLYFTAR GORICA MD
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Gender | Male
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Dates
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Enumeration Date | 04/20/2019
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 120 COLEMANS CROSSING BLVD STE C
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City | MARYSVILLE
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State | OH
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Zip | 43040-7115
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Country | US
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Telephone | 937-578-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 120 COLEMANS CROSSING BLVD STE C
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City | MARYSVILLE
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State | OH
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Zip | 43040-7115
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Country | US
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Telephone | 937-578-4200
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 1017968
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 35.153553
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License Number State | OH
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