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General NPI Number Information
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NPI Number | 1912152984
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Entity Type | Organization
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Legal Business Name | DONG-HONG SHONG, M.D., P.C.
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 13668 ROOSEVELT AVE STE 4B
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City | FLUSHING
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State | NY
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Zip | 11354-5510
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Country | US
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Telephone | 718-539-3648
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Fax | 718-661-3758
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Provider Business Mailing Address
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Address Line | 13668 ROOSEVELT AVE STE 4B
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City | FLUSHING
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State | NY
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Zip | 11354-5510
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Country | US
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Telephone | 718-539-3648
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Fax | 718-661-3758
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONG-HONG SHONG
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Credential | M.D
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Telephone | 718-539-3648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 189477
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License Number State | NY
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