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General NPI Number Information
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NPI Number | 1922197904
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Entity Type | Individual
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Provider Name | GERALD DAVID ZIRIN PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 8124 E CACTUS RD STE 410
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-5262
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Country | US
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Telephone | 602-363-2872
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Fax | 888-839-1279
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Provider Business Mailing Address
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Address Line | 2710 E EMILE ZOLA AVE
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City | PHOENIX
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State | AZ
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Zip | 85032-5921
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Country | US
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Telephone | 602-363-2872
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4058
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License Number State | AZ
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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 | 7307
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License Number State | MA
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