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General NPI Number Information
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NPI Number | 1134138530
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Entity Type | Individual
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Provider Name | WEIJIAN ZHU MD
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Gender | Male
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 488 KENNESAW AVE NW
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City | MARIETTA
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State | GA
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Zip | 30060-9409
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Country | US
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Telephone | 404-888-7575
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Fax | 678-631-4624
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Provider Business Mailing Address
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Address Line | 488 KENNESAW AVE NW
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City | MARIETTA
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State | GA
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Zip | 30060-9409
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Country | US
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Telephone | 404-888-7575
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Fax | 678-631-4624
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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 | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 28549
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 057270
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 103245
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 28549
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 103245
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 057270
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License Number State | GA
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