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General NPI Number Information
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NPI Number | 1588007413
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Entity Type | Organization
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Legal Business Name | YANLIANG SUN MEDICAL PLLC
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Dates
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Enumeration Date | 04/10/2013
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Last Update Date | 04/10/2013
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Provider Practice Location Address
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Address Line | 41-60 MAIN ST STE 312
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City | FLUSHING
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State | NY
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Zip | 11355
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Country | US
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Telephone | 718-463-6868
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Fax |
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Provider Business Mailing Address
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Address Line | 4160 MAIN ST SUITE 312
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City | FLUSHING
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State | NY
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Zip | 11355-3833
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Country | US
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Telephone | 718-463-6868
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Fax |
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Authorized Official
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Title or Position | INTERNAL MEDICINE
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Name | YANGLIANG SUN
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Credential | M.D
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Telephone | 917-488-6069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 254007
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License Number State | NY
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