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General NPI Number Information
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NPI Number | 1558381525
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Entity Type | Individual
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Provider Name | SHARON L. ZIMMERMAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 1101 BEACON ST STE 8EAST
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City | BROOKLINE
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State | MA
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Zip | 02446-5587
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Country | US
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Telephone | 617-566-5840
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 BEACON ST SUITE 8 EAST
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City | BROOKLINE
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State | MA
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Zip | 02446-5587
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Country | US
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Telephone | 617-566-5840
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4770
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 4770
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License Number State | MA
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