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General NPI Number Information
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NPI Number | 1699807909
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Entity Type | Organization
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Legal Business Name | RADIOLOGY OF FLUSHING, P.C.
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 13640 39TH AVE
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City | FLUSHING
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State | NY
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Zip | 11354-5536
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Country | US
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Telephone | 646-450-7345
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Fax | 718-961-0944
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Provider Business Mailing Address
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Address Line | 13640 39TH AVE
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City | FLUSHING
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State | NY
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Zip | 11354-5536
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Country | US
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Telephone | 646-450-7345
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Fax | 718-961-0944
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | SUNG U KIM
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Credential | MD
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Telephone | 646-450-7345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 105860
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License Number State | NY
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