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General NPI Number Information
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NPI Number | 1235999012
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Entity Type | Individual
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Provider Name | QIANXIONG ZHENG MS, RD , CSO
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Gender | Female
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 6505 S MANTHEY RD
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City | FRENCH CAMP
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State | CA
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Zip | 95231-9518
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Country | US
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Telephone | 209-851-7324
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Fax |
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Provider Business Mailing Address
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Address Line | 5973 LAGUNA PARK DR
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City | ELK GROVE
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State | CA
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Zip | 95758-4851
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Country | US
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Telephone |
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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 | 133VN1301X
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Taxonomy Name | Oncology Nutrition Registered Dietitian
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License Number | 1090847
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1090847
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License Number State | CA
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