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General NPI Number Information
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NPI Number | 1215820345
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Entity Type | Individual
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Provider Name | SABRINA ZINA THELEN PSYD
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Gender | Female
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1717 6TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1801
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Country | US
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Telephone | 205-394-3450
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Fax |
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Provider Business Mailing Address
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Address Line | 38944 HARVEST MEADOWS CT
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-5782
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Country | US
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Telephone | 248-835-2034
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 25116160447
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number | 2431
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License Number State | AL
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