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General NPI Number Information
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NPI Number | 1164575551
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Entity Type | Individual
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Provider Name | STEVEN C ZIMMERMAN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3105 EMMORTON RD
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City | ABINGDON
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State | MD
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Zip | 21009-2582
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Country | US
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Telephone | 410-569-5900
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Fax | 410-569-7751
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Provider Business Mailing Address
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Address Line | 208 GOUCHER WAY
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City | CHURCHVILLE
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State | MD
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Zip | 21028-1220
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Country | US
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Telephone | 410-734-9495
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 01971
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 01971
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 01971
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License Number State | MD
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