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General NPI Number Information
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NPI Number | 1841907706
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Entity Type | Individual
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Provider Name | CARLOS JR ZEPHYR
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Gender | Male
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Dates
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Enumeration Date | 11/01/2022
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 46 DRESDEN PL
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City | STATEN ISLAND
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State | NY
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Zip | 10301-4510
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Country | US
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Telephone | 718-981-3523
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Fax |
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Provider Business Mailing Address
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Address Line | 628 E 78TH ST
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City | BROOKLYN
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State | NY
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Zip | 11236-3308
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Country | US
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Telephone | 646-509-9394
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 003052-01
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License Number State | NY
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