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General NPI Number Information
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NPI Number | 1396116778
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Entity Type | Organization
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Legal Business Name | BRENDA ZIMMERMAN
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 10/12/2015
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Provider Practice Location Address
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Address Line | 2431 ALOMA AVE SUITE 258
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City | WINTER PARK
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State | FL
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Zip | 32792-2541
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Country | US
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Telephone | 407-376-9757
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Fax |
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Provider Business Mailing Address
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Address Line | 1425 N HAMPTON AVE
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City | ORLANDO
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State | FL
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Zip | 32803-2020
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Country | US
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Telephone | 407-376-9757
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | MS. BRENDA E ZIMMERMAN
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Credential | PMHNP-BC
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Telephone | 407-376-9757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP1480992
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License Number State | FL
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