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General NPI Number Information
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NPI Number | 1972114189
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Entity Type | Organization
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Legal Business Name | ZG THERAPY, LLC
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 453 CARLISLE DR
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City | HERNDON
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State | VA
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Zip | 20170-5611
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Country | US
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Telephone | 571-206-8435
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Fax |
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Provider Business Mailing Address
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Address Line | 613 HOWITZER TER NE
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City | LEESBURG
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State | VA
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Zip | 20176-6627
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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 | DIRECTO/OWNER
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Name | ZACHARY N GUZMAN
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Credential | CMT
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Telephone | 703-597-2670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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