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General NPI Number Information
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NPI Number | 1710578315
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Entity Type | Individual
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Provider Name | BRANDY ZOLLARS PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/27/2021
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 1379 E END RD STE 3
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City | HOMER
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State | AK
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Zip | 99603-7250
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Country | US
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Telephone | 907-299-6410
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Fax | 833-411-1331
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Provider Business Mailing Address
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Address Line | PO BOX 401
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City | HOMER
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State | AK
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Zip | 99603-0401
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Country | US
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Telephone | 907-299-6410
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Fax | 833-411-1331
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 270929
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN-191599
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10789-33
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 203115
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License Number State | AK
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61245432
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0998847-NP
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License Number State | CO
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