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General NPI Number Information
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NPI Number | 1366259756
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Entity Type | Organization
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Legal Business Name | ZIA NEUROLOGY LLC
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/28/2024
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Provider Practice Location Address
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Address Line | 996 WILKINSON TERRACE SUITE A-7
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City | BOWLING GREEN
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State | KY
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Zip | 42103-3408
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Country | US
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Telephone | 469-414-0131
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Fax | 469-839-3005
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Provider Business Mailing Address
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Address Line | 996 WILKINSON TERRACE SUITE A-7
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City | BOWLING GREEN
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State | KY
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Zip | 42103-3408
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Country | US
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Telephone | 469-414-0131
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Fax | 469-839-3005
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMIR ZIA
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Credential | MD
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Telephone | 469-414-0131
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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 |
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License Number State |
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