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General NPI Number Information
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NPI Number | 1255582474
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Entity Type | Individual
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Provider Name | ADAM ZIEGENBUSCH DPM
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Gender | Male
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 03/12/2019
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Provider Practice Location Address
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Address Line | 1302 LAKEWOOD DR STE 202
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City | MORGAN CITY
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State | LA
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Zip | 70380-1883
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Country | US
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Telephone | 985-385-2616
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Fax | 985-385-2618
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Provider Business Mailing Address
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Address Line | 1302 LAKEWOOD DR STE 202
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City | MORGAN CITY
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State | LA
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Zip | 70380-1883
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Country | US
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Telephone | 985-385-2616
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Fax | 985-385-2618
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016005358
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 200028
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License Number State | LA
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