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General NPI Number Information
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NPI Number | 1891468716
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Entity Type | Individual
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Provider Name | HARRY ALEXANDER ZEAS PTA
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Gender | Male
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 1500 NW 89TH CT STE 208
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City | DORAL
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State | FL
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Zip | 33172-2645
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Country | US
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Telephone | 786-542-5867
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Fax |
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Provider Business Mailing Address
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Address Line | 17401 NW 48TH AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-3605
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Country | US
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Telephone | 786-712-6641
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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 | PTA29808
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License Number State | FL
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