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General NPI Number Information
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NPI Number | 1801486493
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Entity Type | Organization
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Legal Business Name | ESSENCE MEDICAL PLLC
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 1947 86TH ST FL 1
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City | BROOKLYN
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State | NY
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Zip | 11214-3103
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Country | US
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Telephone | 718-372-7700
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Fax | 718-372-7707
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Provider Business Mailing Address
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Address Line | 1947 86TH ST FL 1
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City | BROOKLYN
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State | NY
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Zip | 11214-3103
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Country | US
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Telephone | 718-372-7700
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Fax | 718-372-7707
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUN KANG
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Credential | MD
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Telephone | 929-240-0717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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