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General NPI Number Information
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NPI Number | 1255316675
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Entity Type | Individual
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Provider Name | EUN H SHEEN MD
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Gender | Female
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 12/12/2022
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Provider Practice Location Address
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Address Line | 158 LINWOOD PLZ STE 319
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City | FORT LEE
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State | NJ
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Zip | 07024-3798
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Country | US
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Telephone | 201-567-0404
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Fax |
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Provider Business Mailing Address
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Address Line | 158 LINWOOD PLZ STE 319
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City | FORT LEE
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State | NJ
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Zip | 07024-3798
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Country | US
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Telephone | 201-567-0404
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Fax | 201-482-8856
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 25MA03956200
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License Number State | NJ
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