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General NPI Number Information
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NPI Number | 1023451564
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Entity Type | Individual
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Provider Name | AMY W ZHAI M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/15/2013
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Last Update Date | 12/08/2021
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Provider Practice Location Address
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Address Line | 9961 SIERRA AVE KAISER PERMANENTE FONTANA MEDICAL CTR, DEPT OF OB/GYN
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City | FONTANA
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State | CA
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Zip | 92335-6720
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Country | US
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Telephone | 909-427-5279
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Fax |
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Provider Business Mailing Address
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Address Line | KAISER PERMANENTE FONTANA MEDICAL CTR, DEPT OF OB/GYN 9961 SIERRA AVE, MEDICAL OFFICE BUILDING 1
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City | FONTANA
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State | CA
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Zip | 92335
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Country | US
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Telephone | 909-427-5279
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A150482
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License Number State | CA
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