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General NPI Number Information
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NPI Number | 1104529510
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Entity Type | Organization
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Legal Business Name | MAUREEN ZACH COUNSELING LLC
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Dates
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Enumeration Date | 03/24/2023
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 330 112TH AVE NE STE 302
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City | BELLEVUE
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State | WA
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Zip | 98004-5800
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Country | US
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Telephone | 425-939-6856
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1098
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City | DALLAS
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State | NC
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Zip | 28034-1098
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | JEANETTE JOHNSON
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Credential |
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Telephone | 727-800-2332
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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 |
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License Number State |
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