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General NPI Number Information
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NPI Number | 1407147549
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Entity Type | Organization
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Legal Business Name | MAN-KIT LEUNG, M.D., INC.
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Dates
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Enumeration Date | 04/24/2011
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Last Update Date | 04/24/2011
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Provider Practice Location Address
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Address Line | 1199 BUSH ST SUITE 620
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5999
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Country | US
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Telephone | 415-230-0909
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Fax | 415-230-0915
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Provider Business Mailing Address
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Address Line | 1199 BUSH ST SUITE 620
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5999
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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 | PRESIDENT
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Name | MAN-KIT LEUNG
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Credential | M.D.
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Telephone | 415-230-0909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A87983
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License Number State | CA
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