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General NPI Number Information
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NPI Number | 1093502353
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Entity Type | Individual
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Provider Name | ZACARRAH VENNING
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Gender | Female
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 1062 W MERCURY BLVD STE 1062B
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City | HAMPTON
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State | VA
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Zip | 23666-1068
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Country | US
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Telephone | 757-644-0644
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Fax | 757-819-4581
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Provider Business Mailing Address
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Address Line | 3660 SPRINGWELL CT
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-1947
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Country | US
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Telephone | 678-314-5142
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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