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General NPI Number Information
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NPI Number | 1427663574
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Entity Type | Organization
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Legal Business Name | MIKE ZHANG
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 46 E PARK AVE FL 2
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City | LONG BEACH
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State | NY
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Zip | 11561-3503
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Country | US
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Telephone | 516-208-5388
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Fax | 516-665-3517
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Provider Business Mailing Address
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Address Line | 967 NEWBRIDGE RD
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-1620
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Country | US
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Telephone | 917-399-5277
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MIKE ZHANG
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Credential | DAOM
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Telephone | 516-208-5388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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