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General NPI Number Information
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NPI Number | 1003040759
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Entity Type | Organization
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Legal Business Name | ADVANTAGE HEALTH CARE, LLC
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Dates
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Enumeration Date | 05/11/2009
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Last Update Date | 05/11/2009
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Provider Practice Location Address
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Address Line | 3001 EXPRESSWAY DR N STE 200C
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City | ISLANDIA
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State | NY
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Zip | 11749-5301
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Country | US
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Telephone | 631-435-4358
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Fax | 631-435-4583
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Provider Business Mailing Address
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Address Line | 3001 EXPRESSWAY DR N STE 200C
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City | ISLANDIA
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State | NY
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Zip | 11749-5301
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Country | US
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Telephone | 631-435-4358
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Fax | 631-435-4583
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Authorized Official
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Title or Position | OWNER
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Name | DR. WEI KAO
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Credential | M.D.
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Telephone | 631-435-4358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 222186
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 197663
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 006795
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 160056
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License Number State | NY
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