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General NPI Number Information
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NPI Number | 1851534069
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Entity Type | Organization
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Legal Business Name | DR. QUN ZENG DDS PC
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Dates
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Enumeration Date | 04/17/2009
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 800 SILVER LN STE 238
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City | EAST HARTFORD
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State | CT
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Zip | 06118-1233
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Country | US
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Telephone | 860-569-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 800 SILVER LN STE 238
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City | EAST HARTFORD
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State | CT
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Zip | 06118-1233
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Country | US
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Telephone | 860-569-1800
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. ROSELAND ZENG
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Credential |
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Telephone | 860-569-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 004064
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3906 CT
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6350
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 010422
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9438
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License Number State | CT
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