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NPI 1336898048

NPI 1336898048 : MS. ZAMZAM ZAMAN : OAK CREEK, WI

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General NPI Number Information
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    NPI Number           |    1336898048
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    Entity Type          |    Individual 
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    Provider Name        |    MS. ZAMZAM ZAMAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/21/2022
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    Last Update Date     |    10/23/2023
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Provider Practice Location Address
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    Address Line         |    8350 S ORCHARD WAY APT 208 
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    City                 |    OAK CREEK
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    State                |    WI
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    Zip                  |    53154-7313
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    Country              |    US
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    Telephone            |    414-708-7155
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8350 S ORCHARD WAY APT 208 
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    City                 |    OAK CREEK
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    State                |    WI
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    Zip                  |    53154-7313
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    Country              |    US
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    Telephone            |    414-708-7155
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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       |    10673-125
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    License Number State |    WI
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Taxonomy #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    10673-125
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    License Number State |    WI
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Taxonomy #3
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    10673-125
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    License Number State |    WI
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Taxonomy #4
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    10673-125
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    License Number State |    WI
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Taxonomy #5
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    Taxonomy Code        |    222Q00000X
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    Taxonomy Name        |    Developmental Therapist
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    License Number       |    10673-125
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    License Number State |    WI
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Taxonomy #6
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    Taxonomy Code        |    225XM0800X
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    Taxonomy Name        |    Mental Health Occupational Therapist
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    License Number       |    10673-125
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    License Number State |    WI
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Taxonomy #7
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    10673-125
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    License Number State |    WI
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