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General NPI Number Information
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NPI Number | 1588492144
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Entity Type | Individual
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Provider Name | ANDRES R ZUNIGA M.ED,
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Gender | Male
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Dates
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Enumeration Date | 07/24/2024
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Last Update Date | 10/27/2024
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Provider Practice Location Address
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Address Line | 16 LYMAN AVE
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City | JOHNSTON
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State | RI
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Zip | 02919-2714
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Country | US
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Telephone | 914-481-3262
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Fax |
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Provider Business Mailing Address
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Address Line | 701 STATE ROUTE 440 STE 16 #1094
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City | JERSEY CITY
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State | NJ
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Zip | 07304
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Country | US
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Telephone | 862-417-4746
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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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