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General NPI Number Information
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NPI Number | 1619398724
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Entity Type | Organization
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Legal Business Name | EUNI SUK, MD PC
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Dates
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Enumeration Date | 12/17/2013
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Last Update Date | 12/17/2013
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Provider Practice Location Address
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Address Line | 101 HEMPSTEAD TPKE
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City | FARMINGDALE
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State | NY
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Zip | 11735-2518
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Country | US
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Telephone | 516-755-5855
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Fax |
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Provider Business Mailing Address
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Address Line | 101 HEMPSTEAD TPKE
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City | FARMINGDALE
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State | NY
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Zip | 11735-2518
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Country | US
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Telephone | 516-755-5855
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EUNI SKYLAR SUK
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Credential | MD
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Telephone | 516-755-5855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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