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General NPI Number Information
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NPI Number | 1477819258
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Entity Type | Individual
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Provider Name | DAVID KEE-FUNG SUM M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2012
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 2160 S 1ST AVE
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City | MAYWOOD
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State | IL
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Zip | 60153-3328
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Country | US
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Telephone | 708-216-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 3471 5TH AVE STE 910 UPMC DEPT OF ANESTHESIOLOGY
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City | PITTSBURGH
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State | PA
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Zip | 15213-3221
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD458518
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036143403
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License Number State | IL
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