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General NPI Number Information
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NPI Number | 1679795868
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Entity Type | Organization
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Legal Business Name | ZINNER MEDIATION SERVICES, LLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8288 TELEGRAPH RD SUITE A
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City | ODENTON
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State | MD
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Zip | 21113-1130
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Country | US
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Telephone | 410-672-2237
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Fax | 410-695-6038
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Provider Business Mailing Address
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Address Line | 8288 TELEGRAPH RD SUITE A
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City | ODENTON
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State | MD
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Zip | 21113-1130
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Country | US
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Telephone | 410-672-2237
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Fax | 410-695-6038
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Authorized Official
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Title or Position | OWNER
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Name | ROSLYN ZINNER
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Credential | LCSW-C
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Telephone | 410-672-2237
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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 | 02679
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License Number State | MD
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