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General NPI Number Information
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NPI Number | 1245532282
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Entity Type | Individual
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Provider Name | DENISE M YONG PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/24/2010
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 8549 LILLIBET TER
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City | MORTON GROVE
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State | IL
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Zip | 60053-3122
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Country | US
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Telephone | 847-965-2338
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Fax |
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Provider Business Mailing Address
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Address Line | 1028 S ELMHURST RD
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-4240
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Country | US
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Telephone | 847-437-1858
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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 | 051-039941
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License Number State | IL
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