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General NPI Number Information
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NPI Number | 1922636497
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Entity Type | Individual
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Provider Name | JESSIE KAREN ZHOU DMD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 08/01/2021
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Provider Practice Location Address
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Address Line | 25 RED JACKET ST
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City | DANSVILLE
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State | NY
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Zip | 14437-9517
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Country | US
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Telephone | 585-335-2201
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Fax |
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Provider Business Mailing Address
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Address Line | 4380 HAMMOCKS DR
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City | GENESEO
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State | NY
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Zip | 14454-9598
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Country | US
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Telephone | 215-432-5040
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 061746
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License Number State | NY
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