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General NPI Number Information
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NPI Number | 1184512964
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Entity Type | Organization
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Legal Business Name | AZRIEL ZIMMERMAN PLLC
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 2345 E THOMAS RD STE 100
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City | PHOENIX
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State | AZ
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Zip | 85016-7858
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Country | US
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Telephone | 602-492-2971
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Fax |
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Provider Business Mailing Address
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Address Line | 180 LAFAYETTE AVE APT 6E
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City | PASSAIC
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State | NJ
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Zip | 07055-4740
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Country | US
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Telephone | 551-352-6512
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | AZRIEL ZIMMERMAN
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Credential |
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Telephone | 602-492-2971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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