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General NPI Number Information
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NPI Number | 1568012714
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Entity Type | Individual
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Provider Name | EMMA QIAN ZHENG
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Gender | Female
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Dates
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Enumeration Date | 09/18/2019
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Last Update Date | 04/12/2020
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Provider Practice Location Address
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Address Line | 1 BRIDGE ST STE 71
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City | IRVINGTON
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State | NY
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Zip | 10533-1560
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Country | US
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Telephone | 914-478-0608
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BRIDGE ST STE 71
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City | IRVINGTON
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State | NY
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Zip | 10533-1560
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Country | US
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Telephone | 347-556-9441
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 044664
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License Number State | NY
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