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NPI 1043461957

NPI 1043461957 : JAMES B YOON M.D. : BRISTOL, CT

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General NPI Number Information
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    NPI Number           |    1043461957
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES B YOON M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/09/2008
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    Last Update Date     |    10/09/2008
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Provider Practice Location Address
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    Address Line         |    1019 FARMINGTON AVE 
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    City                 |    BRISTOL
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    State                |    CT
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    Zip                  |    06010-3955
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    Country              |    US
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    Telephone            |    860-585-9765
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    Fax                  |    860-585-9765
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Provider Business Mailing Address
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    Address Line         |    1019 FARMINGTON AVE 
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    City                 |    BRISTOL
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    State                |    CT
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    Zip                  |    06010-3955
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    Country              |    US
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    Telephone            |    860-585-9765
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    Fax                  |    860-585-9765
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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       |    020630
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    License Number State |    CT
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