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General NPI Number Information
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NPI Number | 1174958086
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Entity Type | Organization
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Legal Business Name | YOON CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 20030 CENTURY BLVD STE 203
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City | GERMANTOWN
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State | MD
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Zip | 20874-1196
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Country | US
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Telephone | 240-246-7786
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Fax | 240-246-7815
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Provider Business Mailing Address
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Address Line | 20030 CENTURY BLVD STE 203
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City | GERMANTOWN
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State | MD
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Zip | 20874-1196
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Country | US
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Telephone | 240-246-7786
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Fax | 240-246-7815
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Authorized Official
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Title or Position | MEMBER/ OWNER
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Name | HYUNG SIK YOON
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Credential |
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Telephone | 301-875-8083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | S03547
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License Number State | MD
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