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General NPI Number Information
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NPI Number | 1487795522
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Entity Type | Individual
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Provider Name | DEANNE U. ZOTTER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/10/2007
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Last Update Date | 09/29/2008
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Provider Practice Location Address
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Address Line | 5 CHRISTY DR SUITE 102
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City | CHADDS FORD
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State | PA
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Zip | 19317-9682
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Country | US
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Telephone | 484-947-3268
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Fax |
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Provider Business Mailing Address
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Address Line | 291 DRESSAGE CT
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City | WEST CHESTER
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State | PA
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Zip | 19382-2365
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Country | US
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Telephone | 484-947-3268
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS007150L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS007150L
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License Number State | PA
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