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General NPI Number Information
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NPI Number | 1528672656
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Entity Type | Individual
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Provider Name | DORIS ZHU
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Gender | Female
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Dates
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Enumeration Date | 09/05/2020
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Last Update Date | 09/05/2020
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Provider Practice Location Address
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Address Line | 15020 71ST AVE APT 2L
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City | FLUSHING
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State | NY
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Zip | 11367-2117
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Country | US
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Telephone | 929-206-3108
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 521214
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City | FLUSHING
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State | NY
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Zip | 11352-1214
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Country | US
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Telephone | 929-206-3108
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 029840
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License Number State | NY
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