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General NPI Number Information
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NPI Number | 1013161389
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Entity Type | Individual
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Provider Name | WELLINGTON SUN M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/12/2008
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Last Update Date | 11/12/2008
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Provider Practice Location Address
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Address Line | 1401 ROCKVILLE PIKE SUITE 300N
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City | ROCKVILLE
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State | MD
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Zip | 20852-1428
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Country | US
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Telephone | 301-827-3070
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Fax | 301-827-3532
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Provider Business Mailing Address
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Address Line | 4400 WOODFIELD RD
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City | KENSINGTON
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State | MD
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Zip | 20895-4234
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Country | US
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Telephone | 301-530-7872
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD30995
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License Number State | DC
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