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General NPI Number Information
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NPI Number | 1952895146
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Entity Type | Organization
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Legal Business Name | MURRAY HILL INTERNAL MEDICINE PC
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 15015 41ST AVE STE 2A
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City | FLUSHING
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State | NY
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Zip | 11354-4929
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Country | US
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Telephone | 718-888-0502
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Fax |
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Provider Business Mailing Address
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Address Line | 15015 41ST AVE STE 2A
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City | FLUSHING
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State | NY
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Zip | 11354-4929
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Country | US
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Telephone | 718-888-0502
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JUNGEUN PARK
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Credential |
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Telephone | 718-888-0502
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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 | 231325
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License Number State | NY
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