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General NPI Number Information
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NPI Number | 1043249758
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Entity Type | Individual
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Provider Name | AMY TSUN MAN YUNG DPM
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 136 SHERMAN AVE STE. 202
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City | NEW HAVEN
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State | CT
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Zip | 06511
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Country | US
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Telephone | 203-624-9991
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Fax | 203-624-6815
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Provider Business Mailing Address
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Address Line | 10 MARLETTE PL
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City | WHITE PLAINS
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State | NY
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Zip | 10605-3206
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Country | US
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Telephone | 347-276-1557
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 000811
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License Number State | CT
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