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General NPI Number Information
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NPI Number | 1538353149
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Entity Type | Individual
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Provider Name | DONGXU SUN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 03/18/2019
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Provider Practice Location Address
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Address Line | 2001 N JEFFERSON AVE
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City | MT PLEASANT
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State | TX
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Zip | 75455-2338
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Country | US
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Telephone | 903-577-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1370 N INTERSTATE DR SUITE 154
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City | NORMAN
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State | OK
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Zip | 73072-3376
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Country | US
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Telephone | 405-307-6668
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Fax | 405-701-6170
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 28082
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N7972
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 28082
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License Number State | OK
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