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General NPI Number Information
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NPI Number | 1588334940
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Entity Type | Individual
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Provider Name | SHENLEI ZHANG PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/16/2021
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 65 N MADISON AVE
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City | PASADENA
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State | CA
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Zip | 91101-2035
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Country | US
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Telephone | 626-578-9991
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Fax |
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Provider Business Mailing Address
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Address Line | 3425 BROOKRIDGE RD
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City | DUARTE
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State | CA
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Zip | 91010-1602
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Country | US
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Telephone | 626-375-4374
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 84733
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License Number State | CA
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