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General NPI Number Information
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NPI Number | 1538793732
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Entity Type | Organization
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Legal Business Name | YI ZHANG MEDICAL WELLNESS PLLC
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Dates
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Enumeration Date | 02/26/2020
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 4265 KISSENA BLVD # L1
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City | FLUSHING
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State | NY
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Zip | 11355-3273
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Country | US
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Telephone | 205-427-1290
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Fax |
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Provider Business Mailing Address
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Address Line | 3815 CORPORAL STONE ST FL 2
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City | BAYSIDE
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State | NY
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Zip | 11361-2140
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. YI ZHANG
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Credential | MD
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Telephone | 205-427-1290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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