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General NPI Number Information
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NPI Number | 1710221973
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Entity Type | Individual
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Provider Name | DENISE MILLER-ZHANG PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 11/12/2012
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 1 S END BRIDGE CIR
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City | AGAWAM
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State | MA
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Zip | 01001-2020
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Country | US
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Telephone | 413-219-9685
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Fax | 413-278-2523
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Provider Business Mailing Address
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Address Line | 1 S END BRIDGE CIR
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City | AGAWAM
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State | MA
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Zip | 01001-2020
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Country | US
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Telephone | 413-219-9685
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Fax | 413-278-2523
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 10365
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License Number State | MA
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