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General NPI Number Information
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NPI Number | 1821451402
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Entity Type | Organization
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Legal Business Name | TRUDI ZAPLAC, J.D., PH.D., PLLC
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 7715 WEXFORD SQ
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City | SAN ANTONIO
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State | TX
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Zip | 78240-3923
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Country | US
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Telephone | 901-828-5825
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Fax |
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Provider Business Mailing Address
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Address Line | 7715 WEXFORD SQ
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City | SAN ANTONIO
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State | TX
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Zip | 78240-3923
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Country | US
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Telephone | 901-828-5825
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. TRUDI KAYE ZAPLAC
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Credential | J.D., PH.D.
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Telephone | 901-828-5825
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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 | 35017
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License Number State | TX
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