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General NPI Number Information
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NPI Number | 1811751316
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Entity Type | Organization
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Legal Business Name | JIAO FENG CLINIC, LLC
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Dates
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Enumeration Date | 02/06/2024
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 932 HUNGERFORD DR STE 40A
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City | ROCKVILLE
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State | MD
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Zip | 20850-1753
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Country | US
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Telephone | 301-838-5955
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Fax | 301-838-5956
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Provider Business Mailing Address
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Address Line | 9708 DILSTON RD
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City | SILVER SPRING
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State | MD
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Zip | 20903-1915
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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 | DIRECTOR
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Name | JIAO FENG
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Credential | CRNP
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Telephone | 301-655-8218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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