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General NPI Number Information
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NPI Number | 1992448930
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Entity Type | Individual
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Provider Name | SARAH CHRISTINE ZUIDEMA LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/18/2022
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 4124 56TH ST SW STE 4
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City | WYOMING
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State | MI
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Zip | 49418-9494
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Country | US
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Telephone | 616-822-4709
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Fax |
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Provider Business Mailing Address
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Address Line | 2889 HAGERVIEW CT
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City | JENISON
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State | MI
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Zip | 49428-8617
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Country | US
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Telephone | 616-822-4709
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801083387
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License Number State | MI
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