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General NPI Number Information
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NPI Number | 1467223727
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Entity Type | Organization
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Legal Business Name | AO HEALTH PHYSICIAN PC
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 1912 AVENUE U
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City | BROOKLYN
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State | NY
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Zip | 11229-3911
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Country | US
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Telephone | 929-969-6808
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Fax | 718-709-4298
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Provider Business Mailing Address
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Address Line | 1912 AVENUE U
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City | BROOKLYN
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State | NY
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Zip | 11229-3911
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Country | US
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Telephone | 929-969-6808
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Fax | 718-709-4298
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Authorized Official
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Title or Position | CEO
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Name | JUNHONG AO
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Credential | DO
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Telephone | 929-969-6808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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