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General NPI Number Information
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NPI Number | 1174501357
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Entity Type | Individual
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Provider Name | ZENGLING PENG MD
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Gender | Female
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2240 E 38TH ST
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City | ERIE
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State | PA
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Zip | 16510-3611
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Country | US
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Telephone | 814-825-4262
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Fax | 814-825-2616
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Provider Business Mailing Address
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Address Line | 3530 PEACH ST SUITE LL1
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City | ERIE
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State | PA
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Zip | 16508-2768
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Country | US
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Telephone | 814-860-5000
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Fax | 814-860-5050
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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 | MD421445
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License Number State | PA
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