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General NPI Number Information
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NPI Number | 1699850214
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Entity Type | Individual
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Provider Name | RICHARD YILIN ZHANG OD, PH.D
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 12/09/2009
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Provider Practice Location Address
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Address Line | 16 CLARKE ST B2
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City | LEXINGTON
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State | MA
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Zip | 02421
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Country | US
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Telephone | 781-676-2020
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Fax | 781-676-2021
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Provider Business Mailing Address
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Address Line | 16 CLARKE ST B2
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City | LEXINGTON
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State | MA
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Zip | 02421
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Country | US
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Telephone | 781-676-2020
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Fax | 781-676-2021
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0673
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4116
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License Number State | MA
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