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General NPI Number Information
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NPI Number | 1831579416
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Entity Type | Individual
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Provider Name | SUSANNAH ZEVELOFF MS, MSW LICSW
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Gender | Female
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 346 SHELBURNE RD
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City | BURLINGTON
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State | VT
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Zip | 05401-4935
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Country | US
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Telephone | 828-527-6380
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Fax |
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Provider Business Mailing Address
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Address Line | 414 BUTTERNUT RD
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City | WILLISTON
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State | VT
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Zip | 05495-7303
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Country | US
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Telephone | 828-527-6380
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0134188
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | P009443
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License Number State | NC
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