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General NPI Number Information
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NPI Number | 1982127718
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Entity Type | Individual
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Provider Name | MINGHE ZHANG DMD
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Gender | Male
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 1 PINCKNEY BLVD # 6216A
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City | BEAUFORT
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State | SC
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Zip | 29902-6122
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Country | US
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Telephone | 843-228-5994
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Fax |
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Provider Business Mailing Address
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Address Line | NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR
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City | SAN DIEGO
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State | CA
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Zip | 92134-5000
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Country | US
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Telephone | 619-532-7935
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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 | 10443082-9922
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10443082-9926
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License Number State | UT
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