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General NPI Number Information
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NPI Number | 1134414576
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Entity Type | Individual
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Provider Name | KYUNGIN YANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/14/2011
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Last Update Date | 05/27/2023
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Provider Practice Location Address
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Address Line | 300 S RIVERSIDE PLZ STE 400
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City | CHICAGO
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State | IL
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Zip | 60606-6642
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Country | US
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Telephone | 574-607-8099
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 446
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City | GRANGER
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State | IN
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Zip | 46530-0446
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Country | US
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Telephone | 574-607-8099
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01073873A
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License Number State | IN
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