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General NPI Number Information
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NPI Number | 1881768315
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Entity Type | Individual
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Provider Name | WENNING ZHAO DC R ACUPUNCTURIST
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Gender | Male
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 15751 BROADWAY AVE MAPLE TOWN SHOPPING CENTER
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City | MAPLE HEIGHTS
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State | OH
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Zip | 44137
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Country | US
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Telephone | 216-581-0321
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Fax | 216-332-0386
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Provider Business Mailing Address
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Address Line | 15751 BROADWAY AVE MAPLE TOWN SHOPPING CENTER
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City | MAPLE HEIGHTS
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State | OH
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Zip | 44137
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Country | US
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Telephone | 216-581-0321
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Fax | 216-332-0386
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2082
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 65000035
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License Number State | OH
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