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NPI 1215106687

NPI 1215106687 : JAMI MICHELLE ZINN BS, MHP : QUINCY, IL

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General NPI Number Information
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    NPI Number           |    1215106687
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    Entity Type          |    Individual 
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    Provider Name        |    JAMI MICHELLE ZINN BS, MHP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/29/2008
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    Last Update Date     |    02/29/2008
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Provider Practice Location Address
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    Address Line         |    4409 MAINE ST 
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    City                 |    QUINCY
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    State                |    IL
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    Zip                  |    62305-5849
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    Country              |    US
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    Telephone            |    217-223-0423
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    Fax                  |    217-223-0461
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Provider Business Mailing Address
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    Address Line         |    776 E COUNTY ROAD 730 
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    City                 |    WARSAW
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    State                |    IL
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    Zip                  |    62379
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    Country              |    US
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    Telephone            |    217-223-0413
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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