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General NPI Number Information
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NPI Number | 1982903704
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Entity Type | Individual
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Provider Name | AITAO ZHANG LPN
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Gender | Female
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 02/23/2015
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Provider Practice Location Address
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Address Line | 3531 9TH INFANTRY ST BOX 694
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City | FORT BRAGG
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State | NC
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Zip | 28310-0001
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Country | US
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Telephone | 646-853-3391
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Fax |
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Provider Business Mailing Address
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Address Line | 13537 37TH AVE APT 3D
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City | FLUSHING
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State | NY
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Zip | 11354-6601
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Country | US
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Telephone | 646-853-3391
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25003696
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 10296755
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License Number State | NY
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