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General NPI Number Information
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NPI Number | 1992382287
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Entity Type | Individual
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Provider Name | JIMMY JI FENG MD
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Gender | Male
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 1420 WILLOW PASS RD
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City | CONCORD
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State | CA
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Zip | 94520-5823
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Country | US
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Telephone | 925-646-5480
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Fax |
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Provider Business Mailing Address
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Address Line | 1789 W 12TH ST
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City | BROOKLYN
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State | NY
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Zip | 11223-1145
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Country | US
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Telephone | 631-444-3005
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Fax | 631-444-7534
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 200570
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License Number State | CA
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