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General NPI Number Information
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NPI Number | 1982820205
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Entity Type | Individual
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Provider Name | ROGER LEUNG
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Gender | Male
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 21835 HEMPSTEAD AVE
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City | QUEENS VILLAGE
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State | NY
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Zip | 11429-1236
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Country | US
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Telephone | 718-465-8046
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Fax |
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Provider Business Mailing Address
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Address Line | 7640 265TH ST
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1404
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Country | US
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Telephone | 718-962-1250
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 033022
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License Number State | NY
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