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General NPI Number Information
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NPI Number | 1184686198
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Entity Type | Individual
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Provider Name | ROSLYN ZINNER LCSW C MSW
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Gender | Female
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8288 TELEGRAPH RD SUITE A
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City | ODENTON
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State | MD
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Zip | 21113-1130
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Country | US
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Telephone | 410-672-2237
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Fax | 410-695-6038
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Provider Business Mailing Address
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Address Line | 8288 TELEGRAPH RD SUITE A
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City | ODENTON
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State | MD
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Zip | 21113-1130
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Country | US
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Telephone | 410-672-2237
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Fax | 410-695-6038
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 02679
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License Number State | MD
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