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General NPI Number Information
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NPI Number | 1861735474
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Entity Type | Individual
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Provider Name | CECELIA CICI XI ZHANG MD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2013
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 4310 JAMES CASEY ST STE 4A
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City | AUSTIN
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State | TX
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Zip | 78745-1120
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Country | US
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Telephone | 124-484-5885
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Fax | 512-445-4511
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Provider Business Mailing Address
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Address Line | PO BOX 10597
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City | AUSTIN
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State | TX
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Zip | 78766-1597
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Country | US
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Telephone | 512-485-5889
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Fax | 512-420-0397
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | V2349
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License Number State | TX
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