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General NPI Number Information
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NPI Number | 1710232202
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Entity Type | Individual
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Provider Name | MARY M ZAMORSKI NP
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Gender | Female
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Dates
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Enumeration Date | 07/20/2012
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Last Update Date | 07/20/2012
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Provider Practice Location Address
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Address Line | 354 BIRNIE AVE
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1108
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Country | US
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Telephone | 413-733-3470
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Fax | 413-733-5235
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Provider Business Mailing Address
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Address Line | 354 BIRNIE AVE.
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1109
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Country | US
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Telephone | 413-733-3470
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Fax | 413-733-5235
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 131442
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License Number State | MA
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