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General NPI Number Information
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NPI Number | 1619191343
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Entity Type | Organization
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Legal Business Name | CHINATOWN KIDNEY CARE, PLLC.
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 02/01/2019
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Provider Practice Location Address
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Address Line | 139 CENTRE STREET SUITE 703
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City | NEW YORK
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State | NY
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Zip | 10013
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Country | US
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Telephone | 212-966-0808
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Fax | 212-966-0880
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Provider Business Mailing Address
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Address Line | 139 CENTRE STREET SUITE 703
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City | NEW YORK
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State | NY
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Zip | 10013
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Country | US
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Telephone | 212-966-0808
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Fax | 212-966-0880
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Authorized Official
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Title or Position | M.D.
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Name | DR. WEI Y. SUN
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Credential | M.D.
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Telephone | 212-966-0808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 225877
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License Number State | NY
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