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General NPI Number Information
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NPI Number | 1205272267
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Entity Type | Organization
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Legal Business Name | Z CLINIC LLC
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Dates
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Enumeration Date | 05/17/2013
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Last Update Date | 05/17/2013
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Provider Practice Location Address
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Address Line | 16250 BRYANT RD SUITE 101
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-4300
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Country | US
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Telephone | 503-342-6410
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Fax | 503-210-0222
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Provider Business Mailing Address
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Address Line | 16250 BRYANT RD SUITE 101
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-4300
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Country | US
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Telephone | 503-342-6410
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Fax | 503-210-0222
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MUHAMMAD ZAFAR KHAN
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Credential | M.D
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Telephone | 503-342-6410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2008085
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License Number State | OR
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