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General NPI Number Information
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NPI Number | 1629427521
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Entity Type | Individual
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Provider Name | JINGNA ZHAO MD
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Gender | Female
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Dates
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Enumeration Date | 06/10/2016
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 1129 NORTHERN BLVD STE 404
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City | MANHASSET
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State | NY
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Zip | 11030-3022
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Country | US
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Telephone | 516-373-9334
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Fax | 516-531-8803
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Provider Business Mailing Address
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Address Line | 418 BROADWAY STE N
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City | ALBANY
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State | NY
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Zip | 12207-2922
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Country | US
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Telephone | 516-373-9334
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Fax | 516-531-8803
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R10595
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | R10595
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD-45222
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 314637
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License Number State | NY
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