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NPI 1144659525

NPI 1144659525 : XIUYAN ZHANG WILLARD RN : EUREKA, CA

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General NPI Number Information
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    NPI Number           |    1144659525
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    Entity Type          |    Individual 
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    Provider Name        |    XIUYAN ZHANG WILLARD RN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/05/2013
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    Last Update Date     |    11/28/2018
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Provider Practice Location Address
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    Address Line         |    720 WOOD ST 
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    City                 |    EUREKA
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    State                |    CA
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    Zip                  |    95501
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    Country              |    US
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    Telephone            |    707-268-2990
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10021 TOWNRIDGE DR 
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    City                 |    WOODWAY
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    State                |    TX
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    Zip                  |    76712-3126
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    Country              |    US
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    Telephone            |    408-807-2333
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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        |    163WP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Registered Nurse
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    License Number       |    830917
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    License Number State |    CA
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