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General NPI Number Information
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NPI Number | 1700159506
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Entity Type | Organization
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Legal Business Name | ZANGS PROSPERITY ORIENTAL MEDICINE INC
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Dates
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Enumeration Date | 02/10/2012
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Last Update Date | 02/10/2012
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Provider Practice Location Address
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Address Line | 12555 ORANGE DR SUITE 115
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City | DAVIE
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State | FL
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Zip | 33330-4304
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Country | US
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Telephone | 786-797-2221
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Fax |
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Provider Business Mailing Address
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Address Line | 12555 ORANGE DR SUITE 115
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City | DAVIE
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State | FL
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Zip | 33330-4304
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Country | US
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Telephone | 786-797-2221
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD C ZANG
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Credential | AP
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Telephone | 786-797-2221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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