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General NPI Number Information
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NPI Number | 1326668443
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Entity Type | Individual
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Provider Name | RICKY ZHU
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Gender | Male
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Dates
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Enumeration Date | 04/18/2020
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 3200 VILLA LN
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City | NAPA
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State | CA
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Zip | 94558-3017
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Country | US
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Telephone | 707-255-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 121 RELIANT WAY
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City | AMERICAN CANYON
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State | CA
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Zip | 94503-3235
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Country | US
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Telephone | 571-490-4620
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 106503
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License Number State | CA
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