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General NPI Number Information
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NPI Number | 1861184681
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Entity Type | Individual
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Provider Name | ZIHENG SONG PHD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 917 PACIFIC AVE
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City | TACOMA
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State | WA
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Zip | 98402-4446
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Country | US
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Telephone | 888-868-8417
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Fax |
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Provider Business Mailing Address
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Address Line | 99 ANTELOPE WAY UNIT 336
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City | COLUMBUS
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State | OH
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Zip | 43235-4415
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Country | US
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Telephone | 888-868-8417
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | SP00762
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 406923
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95034932
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61650187
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License Number State | WA
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