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General NPI Number Information
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NPI Number | 1215005640
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Entity Type | Individual
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Provider Name | DR. SHAOBIN ZHANG
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Gender | Male
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 46132 WARM SPRINGS BLVD UNIT 125
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City | FREMONT
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State | CA
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Zip | 94539-7982
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Country | US
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Telephone | 510-687-9865
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Fax | 510-249-9668
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Provider Business Mailing Address
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Address Line | 46132 WARM SPRINGS BLVD,, SUITE 125
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City | FREMONT
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State | CA
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Zip | 94539-5832
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Country | US
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Telephone | 510-687-9865
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Fax | 510-249-9668
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 54329
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DI21528
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License Number State | NJ
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