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General NPI Number Information
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NPI Number | 1356586630
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Entity Type | Organization
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Legal Business Name | WEN-RAY THOMAS HSU, MD, PC
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Dates
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Enumeration Date | 12/15/2008
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Last Update Date | 12/15/2008
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Provider Practice Location Address
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Address Line | 301 E 21ST ST SUITE 1A
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City | NEW YORK
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State | NY
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Zip | 10010-6543
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Country | US
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Telephone | 212-477-4907
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Fax | 212-477-4944
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Provider Business Mailing Address
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Address Line | 18 ANDREA LN
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City | SCARSDALE
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State | NY
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Zip | 10583-3108
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Country | US
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Telephone | 914-472-3541
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Fax | 914-472-3541
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Authorized Official
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Title or Position | CHIEF PHYSICIAN
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Name | DR. WEN-RAY THOMAS HSU
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Credential | MD
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Telephone | 914-472-3541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 243841
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License Number State | NY
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