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General NPI Number Information
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NPI Number | 1144794561
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Entity Type | Organization
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Legal Business Name | ZOE LIANG PSYCHOTHERAPY LCSW PC
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Dates
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Enumeration Date | 01/18/2019
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Last Update Date | 01/18/2019
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Provider Practice Location Address
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Address Line | 23-91 BELL BLVD SUITE 205
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City | BAYSIDE
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State | NY
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Zip | 11360-2000
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Country | US
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Telephone | 718-844-6744
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Fax | 718-233-0886
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Provider Business Mailing Address
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Address Line | 55 FOREST DR
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City | JERICHO
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State | NY
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Zip | 11753-2313
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Country | US
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Telephone | 516-859-5022
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Fax | 718-233-0886
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHIA-HSIN ZOE LIANG
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Credential |
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Telephone | 718-844-6744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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