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NPI 1356366629

NPI 1356366629 : YONG J ZHU DPM : HACKETTSTOWN, NJ

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General NPI Number Information
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    NPI Number           |    1356366629
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    Entity Type          |    Individual 
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    Provider Name        |    YONG J ZHU DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/13/2006
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    Last Update Date     |    10/19/2017
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Provider Practice Location Address
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    Address Line         |    188 MOUNTAIN AVE 
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    City                 |    HACKETTSTOWN
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    State                |    NJ
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    Zip                  |    07840-2412
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    Country              |    US
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    Telephone            |    908-576-0880
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    Fax                  |    908-576-0881
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Provider Business Mailing Address
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    Address Line         |    188 MOUNTAIN AVE 
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    City                 |    HACKETTSTOWN
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    State                |    NJ
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    Zip                  |    07840-2412
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    Country              |    US
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    Telephone            |    908-576-0880
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    Fax                  |    908-576-0881
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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        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    SC005907
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    25MD00288500
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    License Number State |    NJ
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