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General NPI Number Information
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NPI Number | 1710083217
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Entity Type | Organization
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Legal Business Name | PANG LAY KOOI , P.C.
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 195 GENESEE ST
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City | AUBURN
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State | NY
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Zip | 13021-3302
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Country | US
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Telephone | 315-252-8800
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Fax | 315-258-3938
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Provider Business Mailing Address
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Address Line | 195 GENESEE ST
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City | AUBURN
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State | NY
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Zip | 13021-3302
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Country | US
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Telephone | 315-252-8800
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Fax | 315-258-3938
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Authorized Official
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Title or Position | OFFICER
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Name | DR. PANG L KOOI
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Credential |
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Telephone | 315-252-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 125447-1
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License Number State | NY
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