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General NPI Number Information
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NPI Number | 1912329467
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Entity Type | Organization
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Legal Business Name | KINGS MEDICAL SERVICES PC
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Dates
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Enumeration Date | 01/16/2014
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Last Update Date | 01/16/2014
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Provider Practice Location Address
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Address Line | 1847 UTICA AVE 1ST FL
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City | BROOKLYN
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State | NY
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Zip | 11234-2122
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Country | US
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Telephone | 718-469-4222
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Fax |
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Provider Business Mailing Address
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Address Line | 1847 UTICA AVE 1ST FL
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City | BROOKLYN
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State | NY
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Zip | 11234-2122
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Country | US
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Telephone | 718-469-4222
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. LIJUN WENG
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Credential | MD
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Telephone | 718-469-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 232264
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License Number State | NY
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