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General NPI Number Information
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NPI Number | 1346682838
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Entity Type | Organization
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Legal Business Name | ZENZHONG MEDICAL INC.
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Dates
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Enumeration Date | 07/24/2013
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Last Update Date | 07/24/2013
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Provider Practice Location Address
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Address Line | 10201 HINDERHILL DR
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City | BAKERSFIELD
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State | CA
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Zip | 93312-7034
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Country | US
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Telephone | 661-615-3119
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Fax | 661-615-3119
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Provider Business Mailing Address
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Address Line | 10201 HINDERHILL DR
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City | BAKERSFIELD
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State | CA
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Zip | 93312-7034
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Country | US
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Telephone | 661-615-3119
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Fax | 661-615-3119
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHIQUAN XIONG
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Credential | M.D.
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Telephone | 661-319-4581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | A102651
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | A102651
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | A102651
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License Number State | CA
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