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General NPI Number Information
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NPI Number | 1396198495
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Entity Type | Organization
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Legal Business Name | ADAM ZHAO, OD LLC
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Dates
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Enumeration Date | 07/13/2016
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Last Update Date | 08/02/2016
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Provider Practice Location Address
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Address Line | 390 AMWELL RD SUITE 401
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-1225
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Country | US
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Telephone | 908-524-1888
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Fax |
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Provider Business Mailing Address
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Address Line | 390 AMWELL RD SUITE 401
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-1225
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Country | US
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Telephone | 908-524-1888
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADAM Y ZHAO
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Credential | OD
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Telephone | 908-524-1888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00650000
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License Number State | NJ
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