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General NPI Number Information
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NPI Number | 1093959355
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Entity Type | Organization
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Legal Business Name | RS NUCLEAR MEDICINE PC
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Dates
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Enumeration Date | 04/29/2009
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Last Update Date | 12/19/2012
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Provider Practice Location Address
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Address Line | 825 57TH ST STE 103
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City | BROOKLYN
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State | NY
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Zip | 11220-3674
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Country | US
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Telephone | 718-686-0895
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Fax | 347-751-3532
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Provider Business Mailing Address
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Address Line | 825 57TH ST STE 103
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City | BROOKLYN
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State | NY
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Zip | 11220-3674
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Country | US
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Telephone | 718-686-0895
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Fax | 347-751-3532
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Authorized Official
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Title or Position | PRESIDENT
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Name | LIREN KUANG
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Credential | MD
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Telephone | 718-686-0895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | H90 1187495 83
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License Number State | NY
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