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General NPI Number Information
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NPI Number | 1336193580
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Entity Type | Organization
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Legal Business Name | ZIA OB/GYN, LTD.
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2451 S AVENUE A SUITE 8
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City | YUMA
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State | AZ
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Zip | 85364-7133
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Country | US
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Telephone | 928-344-2728
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Fax | 928-344-9384
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Provider Business Mailing Address
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Address Line | 2451 S AVENUE A
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City | YUMA
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State | AZ
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Zip | 85364-7133
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Country | US
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Telephone | 928-344-2728
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Fax | 928-344-9384
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CHERYL A. LEWIS, CPC
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Credential |
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Telephone | 928-344-2728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 20189
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License Number State | AZ
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