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General NPI Number Information
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NPI Number | 1083410039
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Entity Type | Organization
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Legal Business Name | ZEIDAN DIABETES & ENDOCRINOLOGY LLC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 5250 FAR HILLS AVE STE 150
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City | DAYTON
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State | OH
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Zip | 45429-2389
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Country | US
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Telephone | 614-832-2688
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Fax |
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Provider Business Mailing Address
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Address Line | 1614 GATEKEEPER WAY
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City | CENTERVILLE
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State | OH
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Zip | 45458-3954
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Country | US
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Telephone | 614-832-2688
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TRISHA LYNN ZEIDAN
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Credential | MD
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Telephone | 614-832-2688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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