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General NPI Number Information
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NPI Number | 1114958071
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Entity Type | Individual
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Provider Name | AMY A. ZIMMERMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 8201 PHILADELPHIA RD
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City | ROSEDALE
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State | MD
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Zip | 21237-2832
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Country | US
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Telephone | 410-866-2022
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Fax | 410-866-2031
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Provider Business Mailing Address
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Address Line | 1209 YORK RD SUITE 200
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City | LUTHERVILLE
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State | MD
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Zip | 21093-6220
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Country | US
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Telephone | 410-821-9490
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Fax | 410-821-9495
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D0045758
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License Number State | MD
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