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General NPI Number Information
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NPI Number | 1508288168
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Entity Type | Individual
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Provider Name | HAO MENG
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Gender | Male
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 3200 NORTHLINE AVE STE 250
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City | GREENSBORO
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State | NC
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Zip | 27408-7619
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Country | US
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Telephone | 336-938-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 117 SHORELAKE DR APT K
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City | GREENSBORO
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State | NC
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Zip | 27455-1469
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Country | US
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Telephone | 305-343-8938
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-04713
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License Number State | NC
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