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General NPI Number Information
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NPI Number | 1174003156
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Entity Type | Individual
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Provider Name | CHRISTINE SUNG
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Gender | Female
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Dates
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Enumeration Date | 08/18/2018
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Last Update Date | 08/18/2018
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Provider Practice Location Address
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Address Line | 1981 MARCUS AVE STE E100
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1046
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Country | US
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Telephone | 517-287-4953
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Fax |
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Provider Business Mailing Address
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Address Line | 6359A DOUGLASTON PKWY
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City | LITTLE NECK
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State | NY
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Zip | 11362-1500
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Country | US
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Telephone | 917-847-6019
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 043045
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License Number State | NY
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