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General NPI Number Information
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NPI Number | 1396928412
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Entity Type | Individual
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Provider Name | SUZANNE WASCH ZIMMERMAN CNM
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Gender | Female
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 121 MEDICAL CENTER DR STE 2700
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City | BRUNSWICK
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State | ME
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Zip | 04011-2669
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Country | US
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Telephone | 207-721-8700
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Fax | 207-536-6719
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Provider Business Mailing Address
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Address Line | 121 MEDICAL CENTER DR STE 2700
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City | BRUNSWICK
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State | ME
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Zip | 04011-2669
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Country | US
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Telephone | 207-721-8700
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Fax | 207-536-6719
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R040519
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | CNM82079
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License Number State | ME
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