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General NPI Number Information
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NPI Number | 1396494555
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Entity Type | Individual
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Provider Name | NATHANIEL DER-LIN KWOK MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2022
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 2300 PATTERSON ST
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City | NASHVILLE
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State | TN
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Zip | 37203-1538
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Country | US
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Telephone | 615-342-3966
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Fax |
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Provider Business Mailing Address
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Address Line | 203 E 72ND ST APT 12E
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City | NEW YORK
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State | NY
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Zip | 10021-4567
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME173717
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License Number State | FL
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