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General NPI Number Information
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NPI Number | 1013571520
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Entity Type | Individual
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Provider Name | DUAN ZHANG
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Gender | Male
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 09/02/2022
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Provider Practice Location Address
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Address Line | 1 MEDICAL DR STE B
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City | PORT JEFFERSON STATION
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State | NY
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Zip | 11776-1599
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Country | US
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Telephone | 631-928-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 7501 167TH ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11366-1326
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Country | US
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Telephone | 917-981-7693
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N007238-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | N007238-01
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 213ER0200X
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Taxonomy Name | Radiology Podiatrist
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License Number | N007238-01
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 213ES0000X
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Taxonomy Name | Sports Medicine Podiatrist
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License Number | N007238-01
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N007238-01
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N007238-01
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License Number State | NY
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