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General NPI Number Information
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NPI Number | 1285833186
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Entity Type | Individual
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Provider Name | ZIVA STAUBER MD
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Gender | Female
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 34 PHEASANT HILL DR
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City | WEST HARTFORD
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State | CT
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Zip | 06107
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Country | US
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Telephone | 615-345-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 3 MARYLAND FARMS STE 200
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City | BRENTWOOD
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State | TN
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Zip | 37027-5780
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Country | US
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Telephone | 615-345-5400
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Fax | 888-468-6603
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 4301085271
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 0101250555
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 050287
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License Number State | CT
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