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General NPI Number Information
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NPI Number | 1063644946
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Entity Type | Organization
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Legal Business Name | ZERA EDUCATIONAL & PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 08/11/2009
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Last Update Date | 08/11/2009
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Provider Practice Location Address
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Address Line | 5007 SOUTHPARK DR SUITE 200-C
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City | DURHAM
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State | NC
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Zip | 27713-7739
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Country | US
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Telephone | 919-794-1455
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Fax |
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Provider Business Mailing Address
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Address Line | 5007 SOUTHPARK DR SUITE 200-C
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City | DURHAM
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State | NC
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Zip | 27713-7739
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Country | US
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Telephone | 919-794-1455
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MOYA FOSTER HENRY
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Credential | PH.D.
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Telephone | 919-794-1455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3349
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License Number State | NC
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