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General NPI Number Information
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NPI Number | 1326360215
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Entity Type | Organization
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Legal Business Name | ABC ZHENG'S PEDIATRICS
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 48 MARKET ST SUITE B
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City | NEW YORK
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State | NY
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Zip | 10002
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Country | US
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Telephone | 646-831-6521
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Fax |
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Provider Business Mailing Address
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Address Line | 110-45 QUEENS BLVD #615
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City | FOREST HILLS
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State | NY
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Zip | 11375
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Country | US
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Telephone | 646-283-2743
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. JEAN Q ZHENG
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Credential | M.D.
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Telephone | 646-831-6521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 224016
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License Number State | NY
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