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General NPI Number Information
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NPI Number | 1538425673
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Entity Type | Organization
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Legal Business Name | ZHENGZHUAN SHI MEDICAL P.C.
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 05/08/2013
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Provider Practice Location Address
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Address Line | 818 59TH ST FL1
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City | BROOKLYN
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State | NY
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Zip | 11220-3612
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Country | US
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Telephone | 718-676-9398
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Fax | 718-676-9397
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Provider Business Mailing Address
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Address Line | 255 1ST ST 9A
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City | BROOKLYN
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State | NY
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Zip | 11215-1972
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Country | US
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Telephone | 917-432-7248
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Fax | 347-227-8454
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Authorized Official
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Title or Position | PRESIDENT
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Name | ZHENGZHUAN SHI
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Credential | M.D.
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Telephone | 718-676-9398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 255139
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License Number State | NY
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