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General NPI Number Information
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NPI Number | 1508370164
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Entity Type | Individual
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Provider Name | NICHOLAS KIN-MAN FUNG MD
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Gender | Male
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Dates
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Enumeration Date | 11/18/2017
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 550 PEACHTREE ST NE STE 1135
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City | ATLANTA
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State | GA
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Zip | 30308-2234
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Country | US
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Telephone | 404-778-3381
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 FORBES AVENUE FORBES TOWER - PLAZA LEVEL SUITE 140
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City | PITTSBURGH
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State | PA
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Zip | 15213
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MT221158
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 103838
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License Number State | GA
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