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General NPI Number Information
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NPI Number | 1134637861
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Entity Type | Individual
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Provider Name | HONGMEI ZHAO NP
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Gender | Female
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 09/24/2022
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Provider Practice Location Address
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Address Line | 1451 SHATTUCK AVE
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City | BERKELEY
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State | CA
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Zip | 94709-1410
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Country | US
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Telephone | 248-840-9767
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Fax | 248-840-9767
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Provider Business Mailing Address
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Address Line | 1451 SHATTUCK AVE
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City | BERKELEY
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State | CA
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Zip | 94709-1410
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Country | US
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Telephone | 510-849-0484
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 95008310
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License Number State | CA
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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 | NP95008310
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License Number State | CA
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