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General NPI Number Information
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NPI Number | 1093823833
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Entity Type | Organization
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Legal Business Name | L PETER ZHANG MD LLC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 10/25/2018
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Provider Practice Location Address
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Address Line | 615 S NEW BALLAS RD
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City | CREVE COEUR
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State | MO
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Zip | 63141-8221
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Country | US
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Telephone | 314-749-7133
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9231
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City | SAINT LOUIS
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State | MO
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Zip | 63117-0231
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Country | US
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Telephone | 314-749-7133
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. L PETER ZHANG
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Credential | M.D.
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Telephone | 314-541-9024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2002028080
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License Number State | MO
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