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General NPI Number Information
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NPI Number | 1811910011
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Entity Type | Organization
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Legal Business Name | JAMES K. ZIMMERMAN PH.D. PC
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 61 ACADEMY ST
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City | PLEASANTVILLE
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State | NY
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Zip | 10570-2023
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Country | US
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Telephone | 914-741-6240
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Fax | 914-741-6240
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Provider Business Mailing Address
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Address Line | 61 ACADEMY ST
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City | PLEASANTVILLE
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State | NY
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Zip | 10570-2023
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Country | US
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Telephone | 914-741-6240
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Fax | 914-741-6240
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES K. ZIMMERMAN
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Credential | PH.D.
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Telephone | 914-741-6240
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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 | 010118
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License Number State | NY
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