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General NPI Number Information
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NPI Number | 1891314183
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Entity Type | Individual
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Provider Name | ELIZABETH ERIN ZAMBITO LPTA
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Gender | Female
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 04/16/2020
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Provider Practice Location Address
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Address Line | 1860 N LAWNWOOD CIR
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City | FORT PIERCE
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State | FL
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Zip | 34950-4828
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Country | US
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Telephone | 772-467-3908
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Fax |
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Provider Business Mailing Address
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Address Line | 725 19TH ST SW
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City | VERO BEACH
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State | FL
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Zip | 32962-7013
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Country | US
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Telephone |
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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 | PTA29993
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License Number State | FL
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