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General NPI Number Information
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NPI Number | 1366610339
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Entity Type | Individual
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Provider Name | JUDY ANN ZIMBELMAN MSW, CSW PIP
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Gender | Female
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 7500 E PINE LAKE DR
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City | SIOUX FALLS
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State | SD
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Zip | 57110-6241
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Country | US
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Telephone | 605-940-1150
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Fax | 605-271-1052
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Provider Business Mailing Address
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Address Line | 7500 E PINE LAKE DR
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City | SIOUX FALLS
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State | SD
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Zip | 57110-6241
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Country | US
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Telephone | 605-940-1150
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Fax | 605-271-1052
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 1501
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License Number State | SD
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