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General NPI Number Information
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NPI Number | 1316344575
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Entity Type | Organization
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Legal Business Name | THE ZEILBECK GROUP INCORPORATED
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Dates
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Enumeration Date | 12/03/2014
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Last Update Date | 12/03/2014
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Provider Practice Location Address
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Address Line | 717 MONROE ST
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City | LA PORTE
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State | IN
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Zip | 46350-3356
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Country | US
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Telephone | 219-575-1437
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Fax | 574-830-1064
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Provider Business Mailing Address
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Address Line | 717 MONROE ST
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City | LA PORTE
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State | IN
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Zip | 46350-3356
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Country | US
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Telephone | 219-575-1437
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Fax | 574-830-1064
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Authorized Official
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Title or Position | DIRECTOR OF THERAPY SERVICES
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Name | MR. ANDREW T ZEILBECK
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Credential | MA
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Telephone | 219-575-9314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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