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General NPI Number Information
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NPI Number | 1699381616
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Entity Type | Individual
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Provider Name | DAVID NMN KAO P.A.-C.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | 1345 AVENUE OF THE AMERICAS
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City | NEW YORK
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State | NY
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Zip | 10105-0302
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Country | US
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Telephone | 646-294-2843
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8282
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City | HICKSVILLE
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State | NY
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Zip | 11802-0507
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Country | US
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Telephone | 516-876-2681
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Fax |
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 003824-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 003824-1
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License Number State | NY
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