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General NPI Number Information
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NPI Number | 1437800968
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Entity Type | Individual
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Provider Name | SONYA-LEE ZEZZA LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/17/2022
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Last Update Date | 01/17/2022
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Provider Practice Location Address
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Address Line | 5118 SR A1A S
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City | ST AUGUSTINE
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State | FL
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Zip | 32080-3208
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Country | US
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Telephone | 904-640-8897
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Fax |
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Provider Business Mailing Address
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Address Line | 22 COMARES AVE UNIT 8B
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City | ST AUGUSTINE
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State | FL
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Zip | 32080-3764
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Country | US
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Telephone | 617-680-2232
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 19315
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License Number State | FL
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