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General NPI Number Information
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NPI Number | 1194144303
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Entity Type | Individual
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Provider Name | JESSICA HOUSTON ZWEIG MD
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Gender | Female
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 01/31/2023
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Provider Practice Location Address
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Address Line | 11133 DUNN RD STE 2335
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City | SAINT LOUIS
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State | MO
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Zip | 63136-6165
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Country | US
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Telephone | 314-653-5007
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Fax |
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Provider Business Mailing Address
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Address Line | 11133 DUNN RD STE 2335
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City | SAINT LOUIS
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State | MO
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Zip | 63136-6165
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Country | US
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Telephone | 314-653-5007
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 2016025629
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 2016025629
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | LL51237
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 2016025629
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License Number State | MO
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