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NPI Code Detail

MEDICARE: JENNIFER SAEBYOUL MIN

MEDICARE: JENNIFER SAEBYOUL MIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1528701992
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER SAEBYOUL MIN
Provider Business Mailing Address
First Line : 5225 MAPLE AVE APT NO5206
Second Line :
City : DALLAS
State : TX
Zip : 75235-8195
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 525 E 68TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4870
Country : US
Telephone Number : 212-746-2941
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2022
Last Update Date : 04/14/2022

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Directions to “ JENNIFER SAEBYOUL MIN ” Practice Location

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