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General NPI Number Information
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NPI Number | 1861630097
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Entity Type | Individual
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Provider Name | TERRI A ZIMON A ZIMON ANP
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Gender | Female
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Dates
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Enumeration Date | 01/26/2009
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Last Update Date | 02/15/2010
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Provider Practice Location Address
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Address Line | 9377 N US HIGHWAY 301
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City | WHITAKERS
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State | NC
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Zip | 27891-8621
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Country | US
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Telephone | 503-215-4394
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Fax |
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Provider Business Mailing Address
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Address Line | 9377 N US HIGHWAY 301
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City | WHITAKERS
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State | NC
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Zip | 27891-8621
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Country | US
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Telephone | 503-215-4394
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 098006717N3 ANP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP30007370
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License Number State | WA
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