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General NPI Number Information
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NPI Number | 1417406349
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Entity Type | Individual
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Provider Name | IRENE ZEN PMHNP-BC, MSN, RN
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Gender | Female
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Dates
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Enumeration Date | 10/04/2016
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 9107 KEVIN KRAIG RD
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City | LORTON
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State | VA
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Zip | 22079-3475
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Country | US
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Telephone | 617-785-7281
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Fax | 617-544-0529
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Provider Business Mailing Address
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Address Line | 9107 KEVIN KRAIG RD
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City | LORTON
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State | VA
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Zip | 22079-3475
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Country | US
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Telephone | 617-785-7281
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Fax | 617-544-0529
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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 | 0001283965
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2290392
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2016013790
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024176896
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License Number State | VA
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