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General NPI Number Information
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NPI Number | 1528190097
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Entity Type | Organization
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Legal Business Name | ZAKWORKS, INC. CREATIVE COMMUNICATION
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Dates
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Enumeration Date | 03/11/2007
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 3731 STATE HIGHWAY 14
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City | SANTA FE
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State | NM
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Zip | 87508-8056
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Country | US
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Telephone | 505-470-3422
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Fax | 505-473-5795
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Provider Business Mailing Address
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Address Line | 3731 STATE HIGHWAY 14
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City | SANTA FE
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State | NM
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Zip | 87508-8056
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Country | US
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Telephone | 505-470-3422
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Fax | 150-521-4514
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. SUSAN DEAN HAMRE
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Credential | MA, CCCSLP
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Telephone | 505-470-3422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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