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General NPI Number Information
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NPI Number | 1912317769
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Entity Type | Organization
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Legal Business Name | ZEPHIR MEDICAL GROUP INC.
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 10/07/2022
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Provider Practice Location Address
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Address Line | 28899 SOUTH DIXIE HIGHWAY
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City | NARANJA
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State | FL
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Zip | 33030
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Country | US
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Telephone | 786-298-7236
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Fax |
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Provider Business Mailing Address
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Address Line | 28899 S DIXIE HWY
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City | HOMESTEAD
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State | FL
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Zip | 33033-2406
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Country | US
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Telephone | 786-298-7236
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHANNE A ZEPHIR
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Credential | DO
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Telephone | 305-247-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | OS11818
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License Number State | FL
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