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General NPI Number Information
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NPI Number | 1891974416
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Entity Type | Organization
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Legal Business Name | IBRAHIM M ZAYNEH MD LLC
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 2127 25TH ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662
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Country | US
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Telephone | 740-355-6634
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Fax | 740-355-1273
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Provider Business Mailing Address
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Address Line | 2127 25TH ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662
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Country | US
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Telephone | 740-355-6634
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Fax | 740-355-1273
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | IBRAHIM M ZAYNEH
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Credential | MD
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Telephone | 740-355-6634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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