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General NPI Number Information
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NPI Number | 1952351900
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Entity Type | Organization
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Legal Business Name | MICHAEL POON, MD, PLLC
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 70 BOWERY SUITE 303
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City | NEW YORK
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State | NY
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Zip | 10013-4607
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Country | US
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Telephone | 212-925-4088
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Fax | 917-595-5319
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Provider Business Mailing Address
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Address Line | 70 BOWERY SUITE 303
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City | NEW YORK
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State | NY
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Zip | 10013-4607
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Country | US
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Telephone | 212-925-4088
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Fax | 917-595-5319
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MICHAEL POON
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Credential | M.D.
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Telephone | 212-925-4088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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