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General NPI Number Information
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NPI Number | 1457662306
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Entity Type | Individual
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Provider Name | SUN OK MUN F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2010
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Last Update Date | 09/13/2013
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Provider Practice Location Address
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Address Line | 278 BEDFORD PARK BLVD APT 4B
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City | BRONX
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State | NY
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Zip | 10458-2546
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Country | US
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Telephone | 917-474-7474
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Fax |
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Provider Business Mailing Address
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Address Line | 222 E 204TH ST APT 1F
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City | BRONX
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State | NY
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Zip | 10458-1326
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Country | US
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Telephone | 917-474-7474
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F337888
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 5962351
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License Number State | NY
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