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General NPI Number Information
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NPI Number | 1912471046
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Entity Type | Individual
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Provider Name | NATACHA ZANZELUK MA
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Gender | Female
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Dates
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Enumeration Date | 01/11/2019
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 10920 MOSS PARK RD STE 130
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City | ORLANDO
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State | FL
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Zip | 32832-6087
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Country | US
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Telephone | 407-930-4339
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Fax | 407-745-0316
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Provider Business Mailing Address
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Address Line | 215 W 114TH ST
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City | NEW YORK
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State | NY
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Zip | 10026-2802
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Country | US
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Telephone | 332-268-7494
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Fax | 212-727-6805
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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