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General NPI Number Information
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NPI Number | 1295692895
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Entity Type | Organization
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Legal Business Name | MED ZEPPELIN
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 113 MARIENFELD LN
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City | GEORGETOWN
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State | TX
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Zip | 78626-2621
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Country | US
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Telephone | 512-364-2195
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Fax |
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Provider Business Mailing Address
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Address Line | 143 EXCHANGE BLVD STE 300-42
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City | HUTTO
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State | TX
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Zip | 78634-5368
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ERICKA IGO
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Credential |
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Telephone | 512-364-2195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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