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General NPI Number Information
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NPI Number | 1184743742
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Entity Type | Individual
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Provider Name | JILL SARAH ZIMMERMAN M.S.W., LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 05/27/2014
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Provider Practice Location Address
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Address Line | 48 E. BEAVER CREEK BLVD. STE. 209
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City | AVON
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State | CO
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Zip | 81620
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Country | US
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Telephone | 970-949-0404
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Fax | 970-479-0731
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Provider Business Mailing Address
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Address Line | PO BOX 177
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City | VAIL
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State | CO
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Zip | 81658-0177
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Country | US
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Telephone | 970-949-0404
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Fax | 970-479-0731
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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 | 149-001547
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1318
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License Number State | CO
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