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General NPI Number Information
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NPI Number | 1851809917
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Entity Type | Organization
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Legal Business Name | FREEMAN-ZUMSTEIN, PLLC
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Dates
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Enumeration Date | 01/11/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 180 PROVIDENCE RD STE 5
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City | CHAPEL HILL
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State | NC
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Zip | 27514-2206
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Country | US
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Telephone | 919-272-8008
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Fax |
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Provider Business Mailing Address
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Address Line | 313 AZALEA DR
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City | CHAPEL HILL
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State | NC
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Zip | 27517-9120
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Country | US
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Telephone | 919-272-8008
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | RONALD A ZUMSTEIN
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Credential | LCSW
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Telephone | 919-272-8008
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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 | C002556
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1643
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License Number State | NC
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