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General NPI Number Information
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NPI Number | 1710761747
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Entity Type | Individual
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Provider Name | MINGSHU SUN
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Gender | Female
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 450 MANVILLE RD
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City | PLEASANTVILLE
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State | NY
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Zip | 10570-2827
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Country | US
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Telephone | 914-538-2438
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Fax |
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Provider Business Mailing Address
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Address Line | 91 BEDFORD RD APT 2A
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City | CHAPPAQUA
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State | NY
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Zip | 10514-3555
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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