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General NPI Number Information
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NPI Number | 1235310277
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Entity Type | Organization
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Legal Business Name | CZ CHIROPRACTIC ENTERPRISES, PC
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 4785 E 91ST ST STE B
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City | TULSA
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State | OK
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Zip | 74137-2839
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Country | US
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Telephone | 918-488-8600
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Fax | 918-488-9604
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Provider Business Mailing Address
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Address Line | 4785 E 91ST ST STE B
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City | TULSA
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State | OK
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Zip | 74137-2839
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Country | US
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Telephone | 918-488-8600
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Fax | 918-488-9604
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHARLES ZOELLNER
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Credential | D.C.
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Telephone | 918-488-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3812
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License Number State | OK
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