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General NPI Number Information
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NPI Number | 1023519972
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Entity Type | Organization
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Legal Business Name | ZIMA CONCIERGE MEDICAL SERVICES PLLC
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 02/26/2018
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Provider Practice Location Address
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Address Line | 12030 BANDERA RD STE 128
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City | HELOTES
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State | TX
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Zip | 78023-4776
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Country | US
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Telephone | 210-695-8111
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Fax | 210-332-8510
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Provider Business Mailing Address
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Address Line | 12030 BANDERA RD STE 128
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City | HELOTES
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State | TX
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Zip | 78023-4776
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Country | US
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Telephone | 210-695-8111
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Fax | 210-332-8510
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Authorized Official
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Title or Position | OWNER
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Name | OBINNA H. OZIGO
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Credential | MD
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Telephone | 210-695-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M5867
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License Number State | TX
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