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Individual
BETHEL SUNG MI TAN
Active
Individual
BETHEL SUNG MI TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001285330
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0001285330
VA
Other
Enumeration date
04/30/2026
Last updated
08/21/2026
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