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General NPI Number Information
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NPI Number | 1720201577
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Entity Type | Individual
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Provider Name | YI SUN M.D
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 5609 WATFORD TER
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City | GLEN ALLEN
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State | VA
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Zip | 23059-3433
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Country | US
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Telephone | 860-919-5632
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Fax |
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Provider Business Mailing Address
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Address Line | 5609 WATFORD TERRACE
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City | GLEN ALLEN
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State | VA
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Zip | 23059
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Country | US
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Telephone | 860-919-5632
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0101251037
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101251037
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License Number State | VA
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