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General NPI Number Information
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NPI Number | 1033424866
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Entity Type | Individual
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Provider Name | CHRISTINE SUNGAH YUN RN, PNP, CPON
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Gender | Female
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Dates
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Enumeration Date | 08/17/2010
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | 2653 ELM AVE STE 100
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City | LONG BEACH
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State | CA
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Zip | 90806-1654
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Country | US
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Telephone | 562-728-5026
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Fax |
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Provider Business Mailing Address
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Address Line | 2653 ELM AVE STE 100
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City | LONG BEACH
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State | CA
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Zip | 90806-1654
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Country | US
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Telephone | 562-728-5026
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 603665
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 16686
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 364SP0200X
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Taxonomy Name | Pediatric Clinical Nurse Specialist
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License Number | 2549
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License Number State | CA
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