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General NPI Number Information
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NPI Number | 1285011817
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Entity Type | Individual
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Provider Name | JENNIFER ANN ZAPOLSKI MS CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 05/04/2015
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Provider Practice Location Address
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Address Line | 745 MAIN ST
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City | EAST HARTFORD
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State | CT
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Zip | 06108-3115
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Country | US
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Telephone | 860-289-2791
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Fax |
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Provider Business Mailing Address
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Address Line | 83 GEORGE WOOD RD
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City | SOMERS
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State | CT
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Zip | 06071-1519
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Country | US
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Telephone | 860-289-2791
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 002945
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License Number State | CT
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