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General NPI Number Information
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NPI Number | 1568913390
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Entity Type | Individual
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Provider Name | MICHELLE ZUCKER MA
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Gender | Female
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 10/17/2016
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Provider Practice Location Address
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Address Line | 25 E 16TH AVE
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City | DENVER
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State | CO
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Zip | 80202-5195
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Country | US
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Telephone | 720-275-5728
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Fax |
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Provider Business Mailing Address
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Address Line | 1692 S EUDORA ST
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City | DENVER
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State | CO
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Zip | 80222-3826
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Country | US
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Telephone | 303-319-9062
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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