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General NPI Number Information
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NPI Number | 1700082583
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Entity Type | Individual
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Provider Name | EDWARD F ZIMMER M.A.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 02/10/2014
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Provider Practice Location Address
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Address Line | 2601 HOOPER CT
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-8993
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Country | US
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Telephone | 919-732-4432
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 HOOPER CT
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-8993
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Country | US
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Telephone | 919-732-4432
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2241
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2241
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 2241
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 2241
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License Number State | NC
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