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General NPI Number Information
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NPI Number | 1235215286
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Entity Type | Individual
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Provider Name | LUCY SUN MD
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 5600 W LOVERS LN STE 225
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City | DALLAS
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State | TX
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Zip | 75209-4374
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Country | US
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Telephone | 214-556-8880
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Fax | 145-568-8812
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Provider Business Mailing Address
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Address Line | 5600 W LOVERS LN STE 225
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City | DALLAS
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State | TX
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Zip | 75209-4374
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Country | US
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Telephone | 214-556-8880
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Fax | 214-556-8881
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 242545
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 242545
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | P6285
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License Number State | TX
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