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General NPI Number Information
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NPI Number | 1609071166
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Entity Type | Individual
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Provider Name | CHRISTINE ZINKE MA, LCSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 6 ASHLEY PL
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City | WESTFORD
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State | MA
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Zip | 01886-4537
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Country | US
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Telephone | 973-476-1444
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Fax |
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Provider Business Mailing Address
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Address Line | 6 ASHLEY PL
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City | WESTFORD
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State | MA
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Zip | 01886-4537
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Country | US
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Telephone | 973-476-1444
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 115260
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 084389
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5565
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC04560700
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License Number State | NJ
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