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General NPI Number Information
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NPI Number | 1306567912
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Entity Type | Individual
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Provider Name | ROD MICHAEL ZOTTARELLI LMFT
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Gender | Male
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 6735 CETRONIA RD
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City | ALLENTOWN
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State | PA
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Zip | 18106-9202
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Country | US
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Telephone | 610-703-5090
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Fax |
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Provider Business Mailing Address
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Address Line | 3789 CLOVER DR
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City | CENTER VALLEY
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State | PA
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Zip | 18034-9410
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Country | US
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Telephone | 610-703-5090
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MF001423
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License Number State | PA
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