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General NPI Number Information
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NPI Number | 1073135810
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Entity Type | Individual
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Provider Name | CHRISTA ZUMMO LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/14/2020
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Last Update Date | 05/14/2020
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Provider Practice Location Address
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Address Line | 315 5TH AVE RM 906
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City | NEW YORK
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State | NY
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Zip | 10016-6588
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Country | US
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Telephone | 347-815-3142
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Fax |
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Provider Business Mailing Address
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Address Line | 1153 ELLSWORTH AVE FL 2
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City | BRONX
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State | NY
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Zip | 10465-1424
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Country | US
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Telephone | 347-503-9485
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001676
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License Number State | NY
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