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General NPI Number Information
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NPI Number | 1407134513
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Entity Type | Individual
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Provider Name | PAMELA A ZAMBRANA LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/25/2011
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 7409 37TH AVE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-6300
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Country | US
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Telephone | 718-672-1705
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Fax | 718-672-2027
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Provider Business Mailing Address
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Address Line | 14 MONTCLAIR AVE
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City | NUTLEY
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State | NJ
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Zip | 07110-1124
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Country | US
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Telephone | 917-907-4594
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 083967-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05560900
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License Number State | NJ
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