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General NPI Number Information
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NPI Number | 1447438197
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Entity Type | Organization
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Legal Business Name | A PLUS MEDICAL CARE, PC
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 763 56TH ST FL 1
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City | BROOKLYN
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State | NY
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Zip | 11220-3529
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Country | US
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Telephone | 718-567-3667
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Fax | 718-567-2332
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Provider Business Mailing Address
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Address Line | 763 56TH ST FL 1
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City | BROOKLYN
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State | NY
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Zip | 11220-3529
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Country | US
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Telephone | 718-567-3667
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Fax | 718-567-2332
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LIN GONG
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Credential | MD
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Telephone | 718-567-3667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 224112
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License Number State | NY
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