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General NPI Number Information
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NPI Number | 1326552548
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Entity Type | Organization
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Legal Business Name | SYLVAN HEALTHCARE INC
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Dates
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Enumeration Date | 11/27/2017
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Last Update Date | 11/27/2017
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Provider Practice Location Address
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Address Line | 849 57TH ST STE 801
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City | BROOKLYN
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State | NY
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Zip | 11220-3797
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Country | US
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Telephone | 718-576-6881
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Fax | 718-228-8689
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Provider Business Mailing Address
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Address Line | 19 MICHAEL ROBERTS CT
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City | PEARL RIVER
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State | NY
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Zip | 10965-3332
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Country | US
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Telephone | 845-201-8457
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Fax | 201-632-7000
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. YOU GUANG DING
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Credential | MD
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Telephone | 201-888-4838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 5665
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 07484
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License Number State | MO
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