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General NPI Number Information
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NPI Number | 1588018444
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Entity Type | Individual
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Provider Name | MATTHEW THURSTON ZIEMAN DMD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 03/15/2021
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Provider Practice Location Address
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Address Line | 5901 GRELOT ROAD, BUILDING C
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City | MOBILE
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State | AL
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Zip | 36609-3603
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Country | US
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Telephone | 251-344-6191
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Fax | 254-344-6794
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Provider Business Mailing Address
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Address Line | 5901 GRELOT ROAD, BUILDING C
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City | MOBILE
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State | AL
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Zip | 36609-3603
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Country | US
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Telephone | 251-344-6191
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Fax | 254-344-6794
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 6318
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License Number State | AL
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