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General NPI Number Information
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NPI Number | 1508325101
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Entity Type | Organization
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Legal Business Name | PAK HONG SIK MD MEDICAL CARE PC
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Dates
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Enumeration Date | 03/14/2019
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Last Update Date | 03/14/2019
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Provider Practice Location Address
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Address Line | 4602 6TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11220-1317
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Country | US
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Telephone | 347-763-1091
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Fax | 347-763-1092
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Provider Business Mailing Address
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Address Line | 4602 6TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11220-1317
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Country | US
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Telephone | 347-763-1091
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Fax | 347-763-1092
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HONG SIK PAK
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Credential | MD
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Telephone | 201-840-5055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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