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General NPI Number Information
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NPI Number | 1750904983
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Entity Type | Individual
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Provider Name | JOANNA M ZACCARIA MS, MT-BC
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Gender | Female
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Dates
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Enumeration Date | 05/21/2020
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 232 E GISH RD
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City | SAN JOSE
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State | CA
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Zip | 95112-4706
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Country | US
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Telephone | 585-490-2565
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Fax |
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Provider Business Mailing Address
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Address Line | 601 ALMARIDA DR APT A02
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City | CAMPBELL
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State | CA
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Zip | 95008-0215
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Country | US
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Telephone | 585-490-2565
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 12282
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State | CA
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