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General NPI Number Information
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NPI Number | 1063846178
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Entity Type | Individual
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Provider Name | TRICIA LEIGH ZIMMERMAN LPC
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Gender | Female
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Dates
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Enumeration Date | 08/26/2013
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Last Update Date | 08/26/2013
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Provider Practice Location Address
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Address Line | 7575 E EARLL DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6915
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Country | US
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Telephone | 480-448-7665
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Fax | 480-448-7614
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Provider Business Mailing Address
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Address Line | 1035 S WEAVER DR
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-7018
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Country | US
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Telephone | 480-242-2631
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Fax | 480-969-0792
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC11592
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License Number State | AZ
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