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General NPI Number Information
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NPI Number | 1093570137
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Entity Type | Individual
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Provider Name | BEN YEUNG PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/19/2024
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 474 HURFFVILLE CROSSKEYS RD
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City | SEWELL
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State | NJ
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Zip | 08080-2321
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Country | US
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Telephone | 856-219-0999
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Fax | 856-582-9667
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Provider Business Mailing Address
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Address Line | 400 CEDAR AVE
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City | WEST LONG BRANCH
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State | NJ
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Zip | 07764-1804
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Country | US
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Telephone |
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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