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General NPI Number Information
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NPI Number | 1205952496
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PAIN MANAGEMENT PC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 136-36 39 AVE 2ND FLOOR
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City | FLUSHING
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State | NY
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Zip | 11354
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Country | US
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Telephone | 718-888-1151
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Fax |
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Provider Business Mailing Address
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Address Line | 136-36 39TH AVE 2ND FLOOR
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City | FLUSHING
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State | NY
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Zip | 11354
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Country | US
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Telephone | 718-888-1151
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER SHUANGWU ZHENG
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Credential | MD
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Telephone | 718-358-1861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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