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General NPI Number Information
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NPI Number | 1093059008
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Entity Type | Individual
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Provider Name | CUITING ZHAO NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 818 55TH ST
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City | BROOKLYN
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State | NY
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Zip | 11220-3213
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Country | US
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Telephone | 718-972-6868
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Fax |
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Provider Business Mailing Address
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Address Line | 1245 84TH ST
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City | BROOKLYN
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State | NY
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Zip | 11228-3023
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Country | US
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Telephone | 646-266-0390
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 662944
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 355090
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License Number State | NY
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