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General NPI Number Information
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NPI Number | 1336105006
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Entity Type | Organization
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Legal Business Name | WENSI SUN, MD, PS, INC
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 11231 ROOSEVELT WAY NE
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City | SEATTLE
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State | WA
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Zip | 98125-6225
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Country | US
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Telephone | 206-365-5800
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Fax | 206-364-2072
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Provider Business Mailing Address
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Address Line | 11231 ROOSEVELT WAY NE
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City | SEATTLE
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State | WA
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Zip | 98125-6225
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Country | US
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Telephone | 206-365-5800
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Fax | 206-364-2072
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Authorized Official
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Title or Position | PRESIDENT
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Name | WENSI SUN
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Credential | M.D., PH.D.
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Telephone | 206-365-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD00039922
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License Number State | WA
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