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General NPI Number Information
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NPI Number | 1902541444
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Entity Type | Organization
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Legal Business Name | ZENPLACE PLLC
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Dates
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Enumeration Date | 04/29/2022
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Last Update Date | 04/29/2022
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Provider Practice Location Address
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Address Line | 11 FIELDCREST RD
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City | ARDEN
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State | NC
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Zip | 28704-8450
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Country | US
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Telephone | 239-822-8499
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Fax |
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Provider Business Mailing Address
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Address Line | 11 FIELDCREST RD
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City | ARDEN
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State | NC
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Zip | 28704-8450
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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 | OWNER
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Name | GINA VALO
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Credential |
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Telephone | 239-822-8499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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