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NPI 1881902336

NPI 1881902336 : DAVID JOSEPH ZWACK DPT : BRIDGEPORT, OH

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General NPI Number Information
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    NPI Number           |    1881902336
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID JOSEPH ZWACK DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/17/2010
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    Last Update Date     |    07/19/2025
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Provider Practice Location Address
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    Address Line         |    914 NATIONAL RD 
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    City                 |    BRIDGEPORT
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    State                |    OH
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    Zip                  |    43912-1532
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    Country              |    US
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    Telephone            |    740-359-3730
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5 LAUREL AVE 
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    City                 |    WHEELING
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    State                |    WV
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    Zip                  |    26003-5819
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    Country              |    US
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    Telephone            |    740-359-3730
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    009658
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    002753
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    License Number State |    WV
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