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General NPI Number Information
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NPI Number | 1023373818
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Entity Type | Individual
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Provider Name | JIANZHONG HUANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2012
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Last Update Date | 06/03/2017
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Provider Practice Location Address
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Address Line | 100 MADISON AVE MMC, MAILBOX 88
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6136
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Country | US
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Telephone | 646-305-0028
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Fax |
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Provider Business Mailing Address
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Address Line | 3445 STRATFORD RD NE APT 2201
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City | ATLANTA
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State | GA
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Zip | 30326-1719
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Country | US
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Telephone | 646-305-0028
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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 | 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 #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 72063
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License Number State | GA
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