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General NPI Number Information
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NPI Number | 1427430602
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Entity Type | Organization
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Legal Business Name | ZEZENYA HEALTH CARE S.C.
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 04/22/2020
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Provider Practice Location Address
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Address Line | 5114 S 27TH ST # 763
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City | MILWAUKEE
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State | WI
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Zip | 53221
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Country | US
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Telephone | 414-533-8999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 210763
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City | MILWAUKEE
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State | WI
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Zip | 53221-8013
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Country | US
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Telephone | 414-533-8999
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. USAMA KHAYYAL
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Credential | M.D.
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Telephone | 414-533-8999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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