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General NPI Number Information
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NPI Number | 1558080531
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Entity Type | Organization
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Legal Business Name | SUNSTAR PSYCHIATRIC NP PLLC
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Dates
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Enumeration Date | 08/24/2022
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 381 BARLOW AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10308-1301
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Country | US
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Telephone | 347-570-7007
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Fax |
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Provider Business Mailing Address
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Address Line | 381 BARLOW AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10308-1301
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Country | US
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Telephone | 347-570-7007
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YUAN ZHANG
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Credential | NURSE PRACTITIONER
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Telephone | 347-570-7007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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