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General NPI Number Information
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NPI Number | 1831832948
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Entity Type | Individual
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Provider Name | SHARON CHUNG
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Gender | Female
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Dates
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Enumeration Date | 04/16/2022
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Last Update Date | 04/16/2022
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Provider Practice Location Address
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Address Line | 211 E 43RD ST RM 604
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City | NEW YORK
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State | NY
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Zip | 10017-8607
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Country | US
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Telephone | 201-429-5146
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Fax |
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Provider Business Mailing Address
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Address Line | 538 E 85TH ST APT 1A
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City | NEW YORK
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State | NY
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Zip | 10028-7479
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Country | US
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Telephone | 203-984-9298
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 002702
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License Number State | NY
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