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General NPI Number Information
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NPI Number | 1306874292
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Entity Type | Individual
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Provider Name | LILY ZHANG DMD
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Gender | Female
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 06/05/2012
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Provider Practice Location Address
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Address Line | 203 TURNPIKE ST. STE 100
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City | NORTH ANDOVER
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State | MA
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Zip | 01845
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Country | US
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Telephone | 978-688-6788
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Fax | 978-565-1788
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Provider Business Mailing Address
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Address Line | 203 TURNPIKE ST. STE 100
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City | NORTH ANDOVER
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State | MA
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Zip | 01845
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Country | US
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Telephone | 978-688-6788
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Fax | 978-565-1788
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 20540
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License Number State | MA
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