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Individual
SHE ZHAO
Active
Individual
SHE ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC,
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
671943
NY
363LF0000X
Family Nurse Practitioner
Primary
209.015416
IL
363LF0000X
Family Nurse Practitioner
339358
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209015416
—
IL
Enumeration date
07/07/2014
Last updated
07/29/2021
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