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General NPI Number Information
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NPI Number | 1699578534
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Entity Type | Organization
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Legal Business Name | ERIC ZHUANG MD, MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 20311 SW ACACIA ST STE 150
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-1733
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Country | US
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Telephone | 949-357-0753
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Fax |
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Provider Business Mailing Address
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Address Line | 23 CRESTVIEW DR
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-5548
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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 | CEO/PRESIDENT
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Name | ERIC ZHUANG
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Credential | MD
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Telephone | 949-356-8083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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