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General NPI Number Information
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NPI Number | 1548477169
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Entity Type | Organization
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Legal Business Name | ZIAD L. ZAWAIDEH M.D.
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 10/29/2009
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Provider Practice Location Address
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Address Line | 4951 CENTER ST SUITE 200
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City | OMAHA
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State | NE
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Zip | 68106-3251
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Country | US
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Telephone | 402-558-2500
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Fax | 402-558-5522
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Provider Business Mailing Address
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Address Line | 4951 CENTER ST SUITE 200
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City | OMAHA
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State | NE
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Zip | 68106-3251
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Country | US
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Telephone | 402-558-2500
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Fax | 402-558-5522
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Authorized Official
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Title or Position | OWNER
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Name | DR. ZIAD L ZAWAIDEH
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Credential | M.D.
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Telephone | 402-558-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 17067
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License Number State | NE
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