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General NPI Number Information
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NPI Number | 1184996787
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Entity Type | Individual
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Provider Name | SUMMER LYNN ZELL BCBA, LPC-A
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Gender | Female
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 714 TALLWOOD RD
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City | CHARLESTON
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State | SC
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Zip | 29412-9025
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Country | US
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Telephone | 704-277-3635
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Fax |
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Provider Business Mailing Address
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Address Line | 1529 SAM RITTENBERG BLVD STE 1B
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City | CHARLESTON
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State | SC
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Zip | 29407-4125
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Country | US
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Telephone | 704-277-3635
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10294
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License Number State | SC
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