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General NPI Number Information
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NPI Number | 1104343813
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Entity Type | Organization
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Legal Business Name | SINO HEALTHCARE
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 08/23/2017
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Provider Practice Location Address
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Address Line | 10126 W 119TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66213-1461
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Country | US
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Telephone | 913-286-4176
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Fax | 913-286-4175
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Provider Business Mailing Address
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Address Line | 12711 W 118TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66210-1309
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Country | US
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Telephone | 816-517-9014
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. MELIN LAM WONG
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Credential | PHARM.D.
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Telephone | 913-709-5508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | KS
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