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General NPI Number Information
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NPI Number | 1609877935
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Entity Type | Individual
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Provider Name | NADIM T ZYADEH MD
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Gender | Male
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 07/28/2023
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Provider Practice Location Address
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Address Line | 2236 W BETHANY HOME RD SUITE 2
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City | PHOENIX
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State | AZ
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Zip | 85015-1934
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Country | US
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Telephone | 602-943-6666
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Fax | 602-242-9220
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Provider Business Mailing Address
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Address Line | PO BOX 27340
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City | PHOENIX
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State | AZ
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Zip | 85061-7340
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Country | US
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Telephone | 602-943-9200
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Fax | 602-216-3026
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 30881
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License Number State | AZ
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