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General NPI Number Information
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NPI Number | 1508933227
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Entity Type | Individual
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Provider Name | COLIN POON M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 20 YORK ST
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City | NEW HAVEN
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State | CT
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Zip | 06510-3220
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Country | US
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Telephone | 203-688-2433
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Fax | 203-688-9258
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Provider Business Mailing Address
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Address Line | 296 HAMMOCKS DR
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1683
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Country | US
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Telephone | 203-500-4391
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | MD60623743
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 43467
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License Number State | CT
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