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General NPI Number Information
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NPI Number | 1891999371
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Entity Type | Organization
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Legal Business Name | MING ZHU M.D.P.C
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 11/11/2010
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Provider Practice Location Address
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Address Line | 136-20 38TH AVENUE SUITE 5J
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City | FLUSHING
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State | NY
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Zip | 11354-4232
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Country | US
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Telephone | 718-661-2108
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Fax | 718-661-2109
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Provider Business Mailing Address
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Address Line | 136-20 38TH AVENUE SUITE 5J
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City | FLUSHING
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State | NY
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Zip | 11354-4232
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Country | US
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Telephone | 718-661-2108
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Fax | 718-661-2109
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MING ZHU
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Credential | M.D.
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Telephone | 718-661-2108
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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 | 200038
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License Number State | NY
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