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General NPI Number Information
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NPI Number | 1518488394
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Entity Type | Individual
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Provider Name | KEVIN ZHANG OD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2017
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 46 NASSAU ST
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City | PRINCETON
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State | NJ
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Zip | 08542-4521
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Country | US
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Telephone | 609-921-2333
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Fax | 609-921-3797
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Provider Business Mailing Address
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Address Line | 822 MARC DR
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-5109
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Country | US
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Telephone | 609-712-5649
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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 | TUV008605
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License Number State | NY
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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 | 27OA00710400
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License Number State | NJ
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