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General NPI Number Information
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NPI Number | 1548154966
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Entity Type | Organization
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Legal Business Name | MICHAEL H SONG MD LTD
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 5578 LONGLEY LN
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City | RENO
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State | NV
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Zip | 89511-1825
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Country | US
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Telephone | 775-284-8650
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Fax |
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Provider Business Mailing Address
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Address Line | 5578 LONGLEY LN
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City | RENO
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State | NV
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Zip | 89511-1825
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Country | US
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Telephone | 775-284-8650
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Fax |
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Authorized Official
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Title or Position | MD/PRESIDENT
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Name | MICHAEL H SONG
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Credential | MD
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Telephone | 775-323-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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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 | 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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Taxonomy #4
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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