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NPI 1033002472

NPI 1033002472 : SHIMBOON YOON L.AC. : UPPER ARLINGTON, OH

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General NPI Number Information
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    NPI Number           |    1033002472
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    Entity Type          |    Individual 
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    Provider Name        |    SHIMBOON YOON L.AC.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/03/2025
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    Last Update Date     |    06/20/2025
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Provider Practice Location Address
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    Address Line         |    3200 TREMONT RD 
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    City                 |    UPPER ARLINGTON
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    State                |    OH
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    Zip                  |    43221-2040
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    Country              |    US
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    Telephone            |    614-293-9777
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    Fax                  |    614-293-9677
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Provider Business Mailing Address
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    Address Line         |    241 S ARDMORE RD 
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    City                 |    BEXLEY
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    State                |    OH
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    Zip                  |    43209-1701
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    Country              |    US
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    Telephone            |    614-558-2130
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    65.000190
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    License Number State |    OH
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