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General NPI Number Information
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NPI Number | 1669184073
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Entity Type | Individual
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Provider Name | ANTHONY J ZOULEK LMSW
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Gender | Male
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Dates
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Enumeration Date | 12/16/2022
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 3030 S 9TH ST STE 3F
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City | KALAMAZOO
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State | MI
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Zip | 49009-9456
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Country | US
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Telephone | 269-742-7506
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Fax |
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Provider Business Mailing Address
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Address Line | 3104 MICHAEL AVE
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City | KALAMAZOO
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State | MI
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Zip | 49004-1664
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Country | US
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Telephone | 231-557-4534
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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 | 6801121018
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License Number State | MI
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