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General NPI Number Information
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NPI Number | 1073170155
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Entity Type | Organization
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Legal Business Name | KRISTI ZOLA, PLLC
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 05/23/2019
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Provider Practice Location Address
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Address Line | 18 TULIP STREET
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City | LYNDONVILLE
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State | VT
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Zip | 05851-0585
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Country | US
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Telephone | 802-274-1981
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Fax |
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Provider Business Mailing Address
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Address Line | 6 MORGAN RD W
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City | SHEFFIELD
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State | VT
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Zip | 05866-6615
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Country | US
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Telephone | 802-274-1981
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. KRISTI L ZOLA
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Credential | LCMHC
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Telephone | 802-274-1981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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