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General NPI Number Information
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NPI Number | 1982378659
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Entity Type | Individual
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Provider Name | DAVID S ZIEGLER ED.S.
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Gender | Male
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 08/05/2021
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Provider Practice Location Address
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Address Line | 1040 W MAIN ST
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City | VEVAY
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State | IN
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Zip | 47043-9165
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Country | US
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Telephone | 812-427-2611
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Fax |
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Provider Business Mailing Address
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Address Line | 123 WILDWOOD DR
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City | MADISON
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State | IN
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Zip | 47250-2937
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Country | US
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Telephone | 812-599-6031
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 663548
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License Number State | IN
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