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General NPI Number Information
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NPI Number | 1194858720
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Entity Type | Organization
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Legal Business Name | JEFFREY L ZWEIG MD PC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 02/22/2011
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Provider Practice Location Address
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Address Line | 4417 W GORE BLVD STE 3
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City | LAWTON
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State | OK
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Zip | 73505-5978
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Country | US
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Telephone | 580-357-1002
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Fax | 580-357-1004
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Provider Business Mailing Address
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Address Line | 4417 W GORE BLVD STE 3
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City | LAWTON
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State | OK
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Zip | 73505-5978
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Country | US
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Telephone | 580-357-1002
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Fax | 580-357-1004
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JEFFREY L ZWEIG
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Credential | M.D.
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Telephone | 580-357-1002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 24890
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License Number State | OK
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