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General NPI Number Information
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NPI Number | 1841369360
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Entity Type | Individual
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Provider Name | XINYU ZHAO M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 03/28/2019
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Provider Practice Location Address
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Address Line | 4199 MAIN ST STE 203
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City | FLUSHING
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State | NY
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Zip | 11355-3821
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Country | US
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Telephone | 718-886-2488
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Fax | 718-886-5386
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Provider Business Mailing Address
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Address Line | 16 BRISTOL DR
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City | MANHASSET
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State | NY
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Zip | 11030-3944
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Country | US
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Telephone | 917-767-8298
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 241984
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number | 241984
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 241984
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License Number State | NY
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