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General NPI Number Information
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NPI Number | 1366970956
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Entity Type | Individual
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Provider Name | JANE ZIMMERMANN ANDERSEN PSYD
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Gender | Female
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Dates
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Enumeration Date | 05/26/2017
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 34 YORK ST
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City | GUILFORD
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State | CT
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Zip | 06437
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Country | US
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Telephone | 203-453-2220
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Fax |
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Provider Business Mailing Address
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Address Line | 475 ROUTE 81
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City | KILLINGWORTH
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State | CT
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Zip | 06419-1240
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Country | US
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Telephone | 203-216-7509
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4903
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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