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General NPI Number Information
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NPI Number | 1689339871
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Entity Type | Individual
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Provider Name | JUSTIN ZHU
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Gender | Male
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Dates
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Enumeration Date | 11/03/2021
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 24 HOSPITAL AVE
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City | DANBURY
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State | CT
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Zip | 06810-6099
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Country | US
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Telephone | 203-739-7000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 23687
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City | NEW YORK
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State | NY
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Zip | 10087-3687
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Country | US
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Telephone | 860-322-2222
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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 | 5517
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License Number State | CT
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