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General NPI Number Information
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NPI Number | 1063813442
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Entity Type | Organization
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Legal Business Name | DR. ZHOU'S CLINIC, PLLC
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Dates
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Enumeration Date | 09/04/2014
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Last Update Date | 09/04/2014
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Provider Practice Location Address
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Address Line | 8301 ARLINGTON BLVD SUITE 309
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City | FAIRFAX
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State | VA
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Zip | 22031-2902
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Country | US
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Telephone | 703-303-2543
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Fax | 703-641-8321
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Provider Business Mailing Address
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Address Line | 8301 ARLINGTON BLVD SUITE 309
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City | FAIRFAX
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State | VA
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Zip | 22031-2902
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Country | US
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Telephone | 703-303-2543
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Fax | 703-641-8321
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. HUPING ZHOU
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Credential | M.D.
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Telephone | 703-303-2543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 0101254394
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License Number State | VA
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