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General NPI Number Information
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NPI Number | 1639314842
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Entity Type | Individual
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Provider Name | GRACE L ZACAROLI LCHMC
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Gender | Female
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 123 S 27TH ST
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City | BILLINGS
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State | MT
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Zip | 59101-4200
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Country | US
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Telephone | 406-247-3350
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Fax |
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Provider Business Mailing Address
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Address Line | 1465 HOOKSETT RD UNIT 1371
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City | HOOKSETT
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State | NH
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Zip | 03106-1892
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Country | US
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Telephone | 603-315-2862
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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 | 1368
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 860
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License Number State | NH
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