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General NPI Number Information
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NPI Number | 1629880232
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Entity Type | Individual
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Provider Name | COLLEEN ZORC
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Gender | Female
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 4807 HERMITAGE RD STE 202
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City | RICHMOND
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State | VA
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Zip | 23227-3335
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Country | US
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Telephone | 202-743-3468
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Fax |
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Provider Business Mailing Address
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Address Line | 2112 VENABLE ST
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City | RICHMOND
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State | VA
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Zip | 23223-6353
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Country | US
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Telephone | 202-743-3468
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701014327
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License Number State | VA
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