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General NPI Number Information
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NPI Number | 1902629561
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Entity Type | Organization
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Legal Business Name | JIANXUN ZHOU MD INC.
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 1104 CORPORATE WAY
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City | SACRAMENTO
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State | CA
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Zip | 95831-3875
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Country | US
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Telephone | 734-972-5824
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Fax |
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Provider Business Mailing Address
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Address Line | 4219 MAHOGANY LN
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City | DAVIS
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State | CA
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Zip | 95618-6080
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Country | US
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Telephone | 734-972-5824
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JIANXUN ZHOU
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Credential | MD
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Telephone | 734-972-5824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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