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General NPI Number Information
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NPI Number | 1235549270
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Entity Type | Individual
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Provider Name | PAUL HYUNSOO YI
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Gender | Male
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Dates
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Enumeration Date | 04/29/2014
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 262 DANNY THOMAS PL DEPT OF
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City | MEMPHIS
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State | TN
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Zip | 38105-3678
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Country | US
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Telephone | 901-595-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 22 S GREENE ST DEPT OF RADIOLOGY
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City | BALTIMORE
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State | MD
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Zip | 21201-1542
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Country | US
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Telephone | 410-328-3477
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 6472-851
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D85195
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 72312
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License Number State | TN
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