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General NPI Number Information
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NPI Number | 1225041007
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Entity Type | Organization
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Legal Business Name | ERIC ZIEFF, PSY.D. LLC
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 599 NORTH AVE # 8
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City | WAKEFIELD
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State | MA
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Zip | 01880-1648
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Country | US
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Telephone | 781-246-8400
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Fax | 781-246-2955
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Provider Business Mailing Address
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Address Line | 599 NORTH AVE # 8
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City | WAKEFIELD
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State | MA
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Zip | 01880-1648
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Country | US
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Telephone | 781-246-8400
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Fax | 781-246-2955
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. ERIC ZIEFF
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Credential |
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Telephone | 781-246-8400
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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 | 7192
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License Number State | MA
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