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General NPI Number Information
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NPI Number | 1255757407
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Entity Type | Organization
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Legal Business Name | CHANG N. YOON, M.D.,P.C.
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Dates
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Enumeration Date | 03/12/2014
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Last Update Date | 03/12/2014
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Provider Practice Location Address
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Address Line | 201 SOUTH AVE
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-4812
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Country | US
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Telephone | 845-473-0600
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Fax | 845-473-2977
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Provider Business Mailing Address
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Address Line | 201 SOUTH AVE
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-4812
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Country | US
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Telephone | 845-473-0600
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Fax | 845-473-2977
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Authorized Official
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Title or Position | MD/OWNER
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Name | CHANG N YOON
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Credential | MD
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Telephone | 845-473-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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