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General NPI Number Information
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NPI Number | 1497264261
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Entity Type | Organization
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Legal Business Name | SHUO SHENG ZHOU
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Dates
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Enumeration Date | 09/25/2017
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Last Update Date | 09/26/2017
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Provider Practice Location Address
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Address Line | 1336 W VALLEY BLVD STE A
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City | ALHAMBRA
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State | CA
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Zip | 91803-2480
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Country | US
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Telephone | 626-281-7214
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2575
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City | SAN GABRIEL
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State | CA
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Zip | 91778-2575
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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 | DO/PRESIDENT
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Name | DR. SHUO SHENG ZHOU
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Credential | DO
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Telephone | 626-272-3413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A13715
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License Number State | CA
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