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General NPI Number Information
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NPI Number | 1538519145
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Entity Type | Individual
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Provider Name | ZHONGCHUN ZHU M.D. ORIENTAL MED.
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Gender | Female
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Dates
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Enumeration Date | 06/14/2016
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Last Update Date | 04/17/2020
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Provider Practice Location Address
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Address Line | 3131 CUSTER RD STE 255
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City | PLANO
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State | TX
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Zip | 75075-4426
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Country | US
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Telephone | 972-599-1268
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Fax | 972-599-1268
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Provider Business Mailing Address
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Address Line | 2400 RESTON DR
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City | MCKINNEY
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State | TX
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Zip | 75072-8840
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Country | US
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Telephone | 972-984-9386
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Fax | 972-599-1268
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC01243
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MT118328
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License Number State | TX
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