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General NPI Number Information
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NPI Number | 1548411143
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Entity Type | Organization
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Legal Business Name | FANGBIN SUN
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Dates
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Enumeration Date | 10/01/2008
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 1111 W HILL RD SUITE A
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City | FLINT
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State | MI
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Zip | 48507-4724
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Country | US
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Telephone | 810-232-7070
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Fax | 810-232-9830
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Provider Business Mailing Address
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Address Line | 1111 W HILL RD SUITE A
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City | FLINT
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State | MI
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Zip | 48507-4724
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Country | US
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Telephone | 810-232-7070
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Fax | 810-232-9830
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Authorized Official
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Title or Position | OWNER
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Name | DR. FANGBIN SUN
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Credential |
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Telephone | 810-232-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 29010-16636
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License Number State | MI
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