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General NPI Number Information
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NPI Number | 1588209506
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Entity Type | Individual
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Provider Name | CARLIE AARON ZAMORA RN, LBSW, CCM, CPC
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Gender | Female
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Dates
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Enumeration Date | 11/13/2019
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Last Update Date | 11/13/2019
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Provider Practice Location Address
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Address Line | 5630 COHN TER
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City | HOUSTON
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State | TX
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Zip | 77007-1198
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Country | US
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Telephone | 281-814-6701
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Fax |
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Provider Business Mailing Address
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Address Line | 2424 WILCREST DR STE 110
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City | HOUSTON
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State | TX
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Zip | 77042-2772
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Country | US
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Telephone | 713-666-8287
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 819889
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License Number State | TX
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