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General NPI Number Information
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NPI Number | 1851060982
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Entity Type | Individual
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Provider Name | TRACY ZUELZKE LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/11/2021
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Last Update Date | 09/11/2021
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Provider Practice Location Address
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Address Line | 1710 OLD TROLLEY RD STE E
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City | SUMMERVILLE
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State | SC
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Zip | 29485-8281
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Country | US
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Telephone | 843-582-4224
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Fax |
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Provider Business Mailing Address
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Address Line | 170 LONGFORD DR
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City | SUMMERVILLE
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State | SC
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Zip | 29483-5641
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Country | US
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Telephone |
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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 | 13168
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License Number State | WI
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