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General NPI Number Information
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NPI Number | 1194083030
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Entity Type | Individual
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Provider Name | MS. JIN SEON YOON
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Gender | Female
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Dates
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Enumeration Date | 04/29/2012
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Last Update Date | 10/06/2016
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Provider Practice Location Address
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Address Line | 2646 DUPONT DR STE 270
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City | IRVINE
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State | CA
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Zip | 92612-7677
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Country | US
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Telephone | 949-408-6014
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Fax |
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Provider Business Mailing Address
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Address Line | 2646 DUPONT LN #270
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City | IRVINE
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State | CA
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Zip | 92612-1558
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Country | US
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Telephone | 949-408-6014
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Fax | 949-502-5469
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 13991
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License Number State | CA
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