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General NPI Number Information
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NPI Number | 1003868399
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Entity Type | Individual
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Provider Name | XUESHU ZHANG MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 133-47 SANFORD AVENUE SUITE 1F
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City | FLUSHING
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State | NY
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Zip | 11355
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Country | US
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Telephone | 718-359-5780
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Fax | 718-359-5821
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Provider Business Mailing Address
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Address Line | 133-47 SANFORD AVENUE SUITE 1F
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City | FLUSHING
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State | NY
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Zip | 11355
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Country | US
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Telephone | 718-359-5780
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Fax | 718-359-5821
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 218320
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License Number State | NY
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