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General NPI Number Information
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NPI Number | 1386940179
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Entity Type | Organization
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Legal Business Name | KEE Y. SHUM, M.D., P.C.
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Dates
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Enumeration Date | 01/27/2011
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Last Update Date | 01/27/2011
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Provider Practice Location Address
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Address Line | 13625 MAPLE AVE SUITE 205
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City | FLUSHING
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State | NY
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Zip | 11355-3870
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Country | US
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Telephone | 718-463-2245
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Fax | 718-463-2290
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Provider Business Mailing Address
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Address Line | 13625 MAPLE AVE SUITE 205
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City | FLUSHING
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State | NY
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Zip | 11355-3870
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Country | US
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Telephone | 718-463-2245
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Fax | 718-463-2290
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEE YEE SHUM
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Credential | M.D.
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Telephone | 718-463-2245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 151697
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License Number State | NY
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