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General NPI Number Information
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NPI Number | 1497819932
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Entity Type | Individual
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Provider Name | XISHAN ZHANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 210 CANAL ST SUITE 410
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City | NEW YORK
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State | NY
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Zip | 10013-4155
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Country | US
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Telephone | 212-233-3310
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Fax | 212-233-3390
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Provider Business Mailing Address
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Address Line | 1037 CUMBERMEADE RD
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City | FORT LEE
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State | NJ
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Zip | 07024-4210
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Country | US
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Telephone | 201-886-1339
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 235330
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 235330
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License Number State | NY
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