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General NPI Number Information
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NPI Number | 1124226949
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Entity Type | Individual
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Provider Name | XIAO QIAN ZHAO LMT
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Gender | Female
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 806 N MAIN ST
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City | KISSIMMEE
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State | FL
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Zip | 34744-4564
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Country | US
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Telephone | 407-343-6111
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Fax | 407-343-6116
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Provider Business Mailing Address
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Address Line | PO BOX 771721
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City | ORLANDO
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State | FL
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Zip | 32877-1721
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Country | US
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Telephone | 407-761-1534
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Fax | 407-343-6116
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | M42050
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License Number State | FL
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