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General NPI Number Information
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NPI Number | 1346591609
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Entity Type | Individual
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Provider Name | ZION ZIBLY MD
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Gender | Male
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 15 VALLEY DR STE 201
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City | GREENWICH
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State | CT
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Zip | 06831-5205
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Country | US
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Telephone | 203-737-2096
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Fax |
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Provider Business Mailing Address
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Address Line | 15 VALLEY DR STE 201
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City | GREENWICH
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State | CT
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Zip | 06831-5205
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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 |
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 57.020807
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 72990
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License Number State | CT
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