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General NPI Number Information
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NPI Number | 1942346630
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Entity Type | Organization
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Legal Business Name | DR LAU MEDICAL ONCOLOGY PC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/20/2018
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Provider Practice Location Address
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Address Line | 3609 MAIN ST STE 6B
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City | FLUSHING
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State | NY
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Zip | 11354
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Country | US
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Telephone | 718-353-1688
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Fax | 718-353-2388
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Provider Business Mailing Address
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Address Line | 3609 MAIN ST STE 6B
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City | FLUSHING
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State | NY
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Zip | 11354-6504
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Country | US
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Telephone | 718-353-1688
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Fax | 718-353-2388
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAULINE LAU
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Credential | MD
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Telephone | 718-353-1688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number |
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License Number State |
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