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General NPI Number Information
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NPI Number | 1699339663
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Entity Type | Individual
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Provider Name | HO WING CHAN
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Gender | Male
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Dates
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Enumeration Date | 04/25/2019
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L. LEVY PLACE
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 212-241-6694
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Fax | 212-731-7309
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Provider Business Mailing Address
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Address Line | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI GME ONE GUSTAVE L. LEVY PLACE BOX 1076
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 212-241-6694
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Fax | 212-731-7309
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 320837
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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