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General NPI Number Information
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NPI Number | 1376963769
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Entity Type | Individual
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Provider Name | AMANDA ZIMMER
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Gender | Female
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Dates
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Enumeration Date | 04/24/2014
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 1570 WESTMINSTER ST
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City | PROVIDENCE
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State | RI
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Zip | 02909-1805
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Country | US
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Telephone | 917-617-4832
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Fax |
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Provider Business Mailing Address
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Address Line | 105 LANDIS DR
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City | EAST GREENWICH
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State | RI
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Zip | 02818-4509
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Country | US
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Telephone | 917-617-4832
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW02398
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License Number State | RI
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