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General NPI Number Information
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NPI Number | 1174142210
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Entity Type | Individual
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Provider Name | SERENA ZHANG
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Gender | Female
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 04/09/2020
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Provider Practice Location Address
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Address Line | 7651 MATAPEAKE BUSINESS DR STE 114
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City | BRANDYWINE
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State | MD
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Zip | 20613-3038
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Country | US
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Telephone | 571-282-5113
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Fax |
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Provider Business Mailing Address
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Address Line | 4209 RIDGE TOP RD APT 438
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City | FAIRFAX
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State | VA
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Zip | 22030-1121
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Country | US
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Telephone | 571-282-5113
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202218027
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26987
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License Number State | MD
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