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General NPI Number Information
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NPI Number | 1487032900
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Entity Type | Organization
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Legal Business Name | APOLLO FAMILY MEDICINE AND SLEEP MEDICINE INC
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Dates
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Enumeration Date | 05/16/2015
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Last Update Date | 05/16/2015
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Provider Practice Location Address
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Address Line | 1828 EL CAMINO REAL SUITE 507
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City | BURLINGAME
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State | CA
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Zip | 94010-3103
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Country | US
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Telephone | 650-697-4195
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8221
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City | FOSTER CITY
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State | CA
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Zip | 94404-8221
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Country | US
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Telephone | 650-697-4195
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WENGUANG ZHAO
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Credential | M. D.
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Telephone | 650-697-4195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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