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General NPI Number Information
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NPI Number | 1043846090
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Entity Type | Individual
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Provider Name | JENNIE YANLING ZHENG MD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2020
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 435 DOCTOR M ROPER PKWY N
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City | BULLARD
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State | TX
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Zip | 75757-5117
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Country | US
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Telephone | 903-894-3991
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Fax |
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Provider Business Mailing Address
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Address Line | 435 DOCTOR M ROPER PKWY N
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City | BULLARD
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State | TX
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Zip | 75757-5117
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Country | US
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Telephone | 903-894-3991
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | U3390
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 335343
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License Number State | LA
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