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General NPI Number Information
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NPI Number | 1740440668
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Entity Type | Organization
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Legal Business Name | DR. JIMMY TAO, MD
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 200 CARMAN AVE APT. A-6
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City | EAST MEADOW
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State | NY
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Zip | 11554-1147
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Country | US
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Telephone | 917-536-8084
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Fax |
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Provider Business Mailing Address
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Address Line | 200 CARMAN AVE APT. A-6
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City | EAST MEADOW
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State | NY
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Zip | 11554-1147
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Country | US
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Telephone | 917-536-8084
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Fax |
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Authorized Official
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Title or Position | RESIDENT PHYSICIAN
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Name | DR. JIMMY ZIMING TAO
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Credential | M.D.
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Telephone | 917-536-8084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 390200000X
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License Number State | NY
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