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General NPI Number Information
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NPI Number | 1508108952
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Entity Type | Individual
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Provider Name | MICHAEL ZEIDMAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2013
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 10301 HAGEN RANCH RD STE A920
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3732
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Country | US
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Telephone | 561-374-5440
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Fax |
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Provider Business Mailing Address
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Address Line | 101 PACIFIC BLVD APT 2
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City | LONG BEACH
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State | NY
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Zip | 11561-3868
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Country | US
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Telephone | 516-817-7789
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | ME171039
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License Number State | FL
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