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General NPI Number Information
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NPI Number | 1952790271
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Entity Type | Organization
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Legal Business Name | JEFFREY W ZIEGLER D O PROF CORP
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Dates
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Enumeration Date | 01/12/2015
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 1600 W SUNSET RD STE C
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City | HENDERSON
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State | NV
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Zip | 89014-2655
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Country | US
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Telephone | 702-433-3355
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Fax | 702-433-3392
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Provider Business Mailing Address
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Address Line | 1600 W SUNSET RD STE C
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City | HENDERSON
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State | NV
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Zip | 89014-2655
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Country | US
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Telephone | 702-433-3355
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Fax | 702-433-3392
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY W ZIEGLER
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Credential | DO
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Telephone | 702-433-3355
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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 | 677
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License Number State | NV
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