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General NPI Number Information
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NPI Number | 1417384785
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Entity Type | Organization
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Legal Business Name | MARY ZHANG CHINESE MEDICINE CLINIC, INC
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 10/02/2013
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Provider Practice Location Address
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Address Line | 9229 WARD PKWY SUITE 107
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City | KANSAS CITY
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State | MO
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Zip | 64114-3326
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Country | US
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Telephone | 816-361-8885
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Fax | 816-523-3555
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Provider Business Mailing Address
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Address Line | 9229 WARD PKWY SUITE 107
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City | KANSAS CITY
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State | MO
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Zip | 64114
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Country | US
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Telephone | 816-361-8885
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Fax | 816-523-3555
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. LIMEI ZHANG
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Credential | LIC AC
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Telephone | 816-361-8885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2012032696
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 2005034880
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License Number State | MO
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