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General NPI Number Information
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NPI Number | 1013999754
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Entity Type | Individual
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Provider Name | MEIJUAN ZHAO MD
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Gender | Female
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 11/21/2012
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Provider Practice Location Address
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Address Line | 55 FRUIT ST YAW 2100 ORTHOPAEDIC ASSOCIATES
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City | BOSTON
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State | MA
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Zip | 02114-2696
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Country | US
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Telephone | 617-726-8530
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Fax | 617-724-8532
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Provider Business Mailing Address
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Address Line | PO BOX 9142
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City | CHARLESTOWN
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State | MA
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Zip | 02129-9142
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Country | US
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Telephone | 614-643-2420
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Fax | 617-726-7875
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 223585
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License Number State | MA
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