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General NPI Number Information
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NPI Number | 1679064075
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Entity Type | Individual
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Provider Name | JIWEI SHENG MD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 8270 WILLOW OAKS CORPORATE DR FL 6
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City | FAIRFAX
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State | VA
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Zip | 22031-4530
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Country | US
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Telephone | 703-698-9335
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Fax |
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Provider Business Mailing Address
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Address Line | 700 N RANDOLPH ST APT 517
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City | ARLINGTON
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State | VA
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Zip | 22203-2179
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Country | US
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Telephone | 240-289-3149
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 275692
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A177947
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | MD500002847
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | D0099913
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 0101281704
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License Number State | VA
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