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General NPI Number Information
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NPI Number | 1972717338
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Entity Type | Organization
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Legal Business Name | SONIX GI & HEPATOLOGY SERVICES, PC
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 185 PARK ROW SUITE #8
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City | NEW YORK
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State | NY
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Zip | 10038-5000
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Country | US
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Telephone | 212-962-5822
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Fax | 212-962-5822
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Provider Business Mailing Address
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Address Line | 21 TAIT RD
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City | TRUMBULL
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State | CT
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Zip | 06611-3825
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Country | US
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Telephone | 212-962-5822
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Fax | 212-962-5822
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHUNWANG LAM
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Credential | M.D.
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Telephone | 212-962-5822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 208229
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License Number State | NY
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