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General NPI Number Information
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NPI Number | 1801676838
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Entity Type | Organization
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Legal Business Name | SHERMAN CHAN, MD PC
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Dates
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Enumeration Date | 10/05/2023
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 2101 AVENUE X
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City | BROOKLYN
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State | NY
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Zip | 11235-2910
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Country | US
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Telephone | 718-517-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 82 GREENWAY N
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City | FOREST HILLS
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State | NY
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Zip | 11375-6045
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Country | US
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Telephone | 917-912-7994
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHERMAN CHAN
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Credential | MD
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Telephone | 917-912-7994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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