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General NPI Number Information
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NPI Number | 1154888766
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Entity Type | Individual
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Provider Name | AMY LEUNG PNP
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Gender | Female
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Dates
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Enumeration Date | 03/01/2019
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Last Update Date | 03/01/2019
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Provider Practice Location Address
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Address Line | 139 CENTRE ST STE 314
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City | NEW YORK
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State | NY
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Zip | 10013-4554
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Country | US
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Telephone | 212-274-1811
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Fax | 212-274-8457
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Provider Business Mailing Address
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Address Line | 89 CORBIN PL
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City | BROOKLYN
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State | NY
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Zip | 11235-4801
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Country | US
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Telephone | 212-920-0909
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 382915
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License Number State | NY
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