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General NPI Number Information
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NPI Number | 1235999616
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Entity Type | Individual
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Provider Name | PATRICIA ZHAO
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Gender | Female
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 3401 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-5103
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Country | US
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Telephone | 215-707-3376
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CAPITAL WAY
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City | PENNINGTON
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State | NJ
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Zip | 08534-2520
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MT233322
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License Number State | PA
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