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General NPI Number Information
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NPI Number | 1992329445
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Entity Type | Individual
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Provider Name | BRENDA LYNN ZORN
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Gender | Female
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Dates
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Enumeration Date | 06/01/2020
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 316 2ND AVE W
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City | WILLISTON
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State | ND
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Zip | 58801-5218
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Country | US
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Telephone | 701-774-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 1319 2ND AVE W STE 104
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City | WILLISTON
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State | ND
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Zip | 58801-4164
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Country | US
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Telephone | 701-551-6363
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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