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General NPI Number Information
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NPI Number | 1124664909
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Entity Type | Individual
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Provider Name | HAN GYUL YOO
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Gender | Male
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Dates
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Enumeration Date | 11/26/2019
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 65 BOSTON ST
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City | LYNN
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State | MA
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Zip | 01904-2524
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Country | US
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Telephone | 781-595-5997
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Fax |
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Provider Business Mailing Address
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Address Line | 21 CROSS ST
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City | WINTHROP
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State | MA
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Zip | 02152-1111
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Country | US
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Telephone | 860-748-9081
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH4307
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH238777
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License Number State | MA
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