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General NPI Number Information
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NPI Number | 1982010799
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Entity Type | Organization
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Legal Business Name | MERCY CARE MEDICAL PLLC
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 07/01/2014
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Provider Practice Location Address
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Address Line | 13336 41ST RD STE 1C
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City | FLUSHING
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State | NY
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Zip | 11355-3666
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Country | US
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Telephone | 718-358-1251
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Fax | 718-321-3537
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Provider Business Mailing Address
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Address Line | 5648 OCEANIA ST
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-1737
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Country | US
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Telephone | 718-358-1251
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Fax | 718-321-3537
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Authorized Official
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Title or Position | ORGANIZER/SINGLE PROVIDER
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Name | DR. WEI-HSIU LO
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Credential | M.D.
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Telephone | 718-357-3796
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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 | 266893
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License Number State | NY
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