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NPI Code Detail

MEDICARE: JAMES A. ZELL L.C.S.W.

MEDICARE: JAMES A. ZELL L.C.S.W.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker0904000194VA

General Provider Information

NPI Number : 1215917315
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES A. ZELL L.C.S.W.
Provider Business Mailing Address
First Line : 1489 SANDBRIDGE RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-4038
Country : US
Telephone Number : 757-426-1606
Fax Number : 757-640-8402
Provider Business Practice Location Address
First Line : 222 W 19TH ST
Second Line :
City : NORFOLK
State : VA
Zip : 23517-2218
Country : US
Telephone Number : 757-622-7017
Fax Number : 757-640-8402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 07/08/2007

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