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General NPI Number Information
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NPI Number | 1063600252
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Entity Type | Organization
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Legal Business Name | CITY OF STAMFORD
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 03/13/2013
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Provider Practice Location Address
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Address Line | 888 WASHINGTON BLVD HEALTH DEPARTMENT
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City | STAMFORD
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State | CT
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Zip | 06901-2152
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Country | US
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Telephone | 203-977-4396
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Fax | 203-977-5506
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Provider Business Mailing Address
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Address Line | 888 WASHINGTON BLVD HEALTH DEPARTMENT
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City | STAMFORD
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State | CT
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Zip | 06901-2152
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Country | US
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Telephone | 203-977-4396
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Fax | 203-977-5506
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. HENRY H YOON
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Credential | MD
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Telephone | 203-977-4366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 041852
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 038953
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License Number State | CT
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