MEDICARE: MISS ZHANG FANG TAYLOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician

General Provider Information

NPI Number	:	1528080801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ZHANG FANG TAYLOR

Provider Business Mailing Address
First Line	:	1165 MCKINNEY LN STE 227
Second Line	:	PARKWAY CENTER MALL
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-3417
Country	:	US
Telephone Number	:	412-937-1112
Fax Number	:	412-937-1806

Provider Business Practice Location Address
First Line	:	1165 MCKINNEY LN STE 227
Second Line	:	PARKWAY CENTER MALL
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-3417
Country	:	US
Telephone Number	:	412-937-1112
Fax Number	:	412-937-1806

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	07/08/2007

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