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General NPI Number Information
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NPI Number | 1487272811
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Entity Type | Individual
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Provider Name | ANNA ZHANG OD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 2480 LLEWELLYN AVE
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City | FORT GEORGE G MEADE
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State | MD
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Zip | 20755-7081
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Country | US
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Telephone | 301-677-8798
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Fax |
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Provider Business Mailing Address
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Address Line | 2480 LLEWELLYN AVE
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City | FORT GEORGE G MEADE
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State | MD
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Zip | 20755-7081
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Country | US
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Telephone |
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 61040802
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 9963T
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License Number State | TX
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