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General NPI Number Information
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NPI Number | 1649950106
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Entity Type | Individual
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Provider Name | LYNN FAN ZHANG MPH, PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/20/2023
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Last Update Date | 07/20/2023
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Provider Practice Location Address
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Address Line | 2298 FREDERICK DOUGLASS BLVD
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City | NEW YORK
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State | NY
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Zip | 10027-5324
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Country | US
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Telephone | 212-300-2836
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Fax |
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Provider Business Mailing Address
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Address Line | 271 W 122ND ST APT 2
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City | NEW YORK
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State | NY
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Zip | 10027-5746
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 030212
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License Number State | NY
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