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General NPI Number Information
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NPI Number | 1518544519
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Entity Type | Individual
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Provider Name | MICHELE ZIMMERMAN
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Gender | Female
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 77 W FOREST AVE STE 202
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-1483
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Country | US
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Telephone | 928-773-2033
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Fax | 928-214-3981
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Provider Business Mailing Address
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Address Line | 910 W 5TH AVE STE 380
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City | SPOKANE
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State | WA
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Zip | 99204-2948
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Country | US
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Telephone | 509-570-5470
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Fax | 509-624-3315
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | RN092943
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License Number State | AZ
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