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General NPI Number Information
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NPI Number | 1649527177
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Entity Type | Organization
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Legal Business Name | HARBIN MEDICAL CARE PLLC
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 43-16 215 STREET
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City | BAYSIDE
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State | NY
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Zip | 11356
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Country | US
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Telephone | 718-224-0120
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Fax | 718-224-0130
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Provider Business Mailing Address
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Address Line | 3275 HARBOR POINT ROAD
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City | BALDWIN
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State | NY
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Zip | 11510
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Country | US
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Telephone | 516-608-9977
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Fax | 516-608-9977
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | JINGBO ZHAO
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Credential | MD
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Telephone | 516-608-9977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 257808
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License Number State | NY
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