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General NPI Number Information
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NPI Number | 1649575234
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Entity Type | Organization
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Legal Business Name | GENGHUI ZHU MEDICAL PC
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Dates
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Enumeration Date | 01/13/2011
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Last Update Date | 01/13/2011
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Provider Practice Location Address
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Address Line | 14022 BEECH AVE 2C
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City | FLUSHING
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State | NY
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Zip | 11355-2821
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Country | US
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Telephone | 877-216-2916
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Fax |
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Provider Business Mailing Address
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Address Line | 55 WESTWOOD DR 90
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City | WESTBURY
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State | NY
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Zip | 11590-1612
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Country | US
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Telephone | 516-359-5370
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GENGHUI ZHU
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Credential | M.D.,
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Telephone | 877-216-2916
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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 | 249189
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License Number State | NY
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