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General NPI Number Information
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NPI Number | 1205087350
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Entity Type | Organization
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Legal Business Name | WELL KITZ INC
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 10/07/2008
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Provider Practice Location Address
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Address Line | 19662 45TH RD
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City | FLUSHING
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State | NY
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Zip | 11358-3523
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Country | US
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Telephone | 917-640-1852
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Fax | 718-229-3748
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Provider Business Mailing Address
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Address Line | 19662 45TH RD
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City | FLUSHING
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State | NY
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Zip | 11358-3523
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Country | US
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Telephone | 917-640-1852
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Fax | 718-229-3748
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. HELEN YINGJIE ZHU
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Credential | MSPT
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Telephone | 917-640-1852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 023582-1
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License Number State | NY
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