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General NPI Number Information
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NPI Number | 1750488615
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Entity Type | Individual
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Provider Name | STEPHANIE ZHANG DDS
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 11/01/2016
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Provider Practice Location Address
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Address Line | 3455 PACIFIC BLVD, STE 2
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City | SAN MATEO
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State | CA
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Zip | 94403-2140
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Country | US
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Telephone | 650-574-2200
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Fax | 650-574-2204
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Provider Business Mailing Address
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Address Line | 371 DARRELL RD
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City | HILLSBOROUGH
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State | CA
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Zip | 94010-5828
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Country | US
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Telephone | 650-574-2200
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Fax | 650-574-2204
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 47026
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License Number State | CA
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