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General NPI Number Information
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NPI Number | 1437477205
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Entity Type | Individual
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Provider Name | RUO HONG ZHAI D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 2 CORPORATE DR SUITE 101
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City | TRUMBULL
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State | CT
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Zip | 06611-1376
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Country | US
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Telephone | 203-261-2511
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Fax | 203-445-0023
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Provider Business Mailing Address
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Address Line | 101 WOOLSLEY AVENUE
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City | TRUMBULL
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State | CT
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Zip | 06611-4458
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Country | US
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Telephone | 917-331-7079
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Fax | 203-880-4098
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 010217
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 010217
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License Number State | CT
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