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General NPI Number Information
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NPI Number | 1942685698
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Entity Type | Individual
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Provider Name | DIANA ZAMORA PHD
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Gender | Female
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Dates
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Enumeration Date | 07/23/2015
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Last Update Date | 09/20/2021
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Provider Practice Location Address
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Address Line | 1000 10TH AVE SUITE 2T
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City | NEW YORK
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State | NY
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Zip | 10019-1147
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Country | US
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Telephone | 212-523-6500
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Fax | 212-523-7182
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Provider Business Mailing Address
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Address Line | 1000 10TH AVE SUITE 2T
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City | NEW YORK
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State | NY
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Zip | 10019-1147
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Country | US
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Telephone | 212-523-6500
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Fax | 212-523-7182
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 35SI00593900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY10471
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 021198
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License Number State | NY
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