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General NPI Number Information
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NPI Number | 1265793657
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Entity Type | Individual
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Provider Name | AMY CHAI-SHINE TSAI M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/02/2012
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 136-25 37TH AVE
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City | FLUSHING
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State | NY
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Zip | 11354-4110
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Country | US
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Telephone | 929-689-1632
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Fax |
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Provider Business Mailing Address
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Address Line | 1877 E SIGGARD DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84106-3803
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Country | US
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Telephone | 401-419-8889
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 10339522-1205
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License Number State | UT
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