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General NPI Number Information
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NPI Number | 1962431452
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Entity Type | Organization
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Legal Business Name | JOHN F ZEEDICK MD INC
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4151 OLD GEORGETOWN RD W
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City | KERSHAW
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State | SC
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Zip | 29067-8902
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Country | US
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Telephone | 803-475-8749
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Fax |
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Provider Business Mailing Address
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Address Line | 4151 OLD GEORGETOWN RD W
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City | KERSHAW
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State | SC
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Zip | 29067-8902
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Country | US
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Telephone | 803-475-8749
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Fax |
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MR. JOHN FRANCIS ZEEDICK
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Credential | MD
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Telephone | 803-475-8749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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