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General NPI Number Information
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NPI Number | 1225592793
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Entity Type | Individual
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Provider Name | SUNG-HAE KANG PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/29/2019
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Last Update Date | 01/29/2019
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Provider Practice Location Address
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Address Line | 10833 LE CONTE AVENUE DEPARTMENT OF PATHOLOGY & LABORATORY MEDICINE
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City | LOS ANGELES
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State | CA
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Zip | 90095
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Country | US
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Telephone | 310-794-2252
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 VETERAN AVE WEST MEDICAL BUILDING - CYTOGENETICS LAB (#22-26)
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City | LOS ANGELES
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State | CA
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Zip | 90095
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Country | US
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Telephone | 310-825-9352
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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 | 207SG0203X
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Taxonomy Name | Clinical Molecular Genetics Physician
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License Number | MTP02012971
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207SC0300X
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Taxonomy Name | Clinical Cytogenetics Physician
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License Number | MTO01010143
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License Number State | CA
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