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General NPI Number Information
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NPI Number | 1962086447
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Entity Type | Individual
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Provider Name | SANDRA JEAN ZIELINSKI NBC-WHC, FMCHC
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Gender | Female
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Dates
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Enumeration Date | 05/10/2021
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 56720 WINDSOR AVE
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City | SOUTH BEND
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State | IN
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Zip | 46619-4728
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Country | US
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Telephone | 574-276-2629
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Fax |
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Provider Business Mailing Address
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Address Line | 56720 WINDSOR AVE APT SUITE
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City | SOUTH BEND
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State | IN
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Zip | 46619-4728
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Country | US
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Telephone | 574-276-2629
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | A-3274173
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License Number State | IN
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